Test/Lab Work Waiver
I, ___________________________________________ , understand that my participation in the
offered lab assignment is voluntary and that I would be given an opportunity to perform the assignment
at a later date if I chose.
I am freely and voluntarily choosing to participate in the offered lab assignment, being fully aware of the
potential risk related to transmission of the COVID-19 virus.
I have had all my questions addressed and am waiving any claim I might have, now or in the future,
related to any injury or illness I could potentially sustain due to participation in the offered lab
assignment.
Furthermore, I am giving my express permission to be medically examined prior to commencing the lab
assignment.
Signature: ___________________________________________
Date: ___________________________
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