White Cloud Institute

Student Consent Form

In agreeing to register for classes with White Cloud Institute, you are verifying that you have not been sick in the past 2 weeks, or to the best of your knowledge, been in contact with anyone who is sick. 

  If you have the following symptoms please stay home to rest.

•Cough

•Fever or chills

•Shortness of breath, difficulty breathing

•Muscle or body aches

•Sore throat

•A general feeling of being unwell or confused

•Dizziness or confusion

•Diarrhea

•Fatigue

•Loss of taste or smell

•Nausea or vomiting

•Congestion or runny nose

  Skin Rash

White Cloud Institute guarantees that the classroom and all equipment will be cleaned and sanitized before every class. I also guarantee that, as your instructor, 1 am healthy and following all Covid 19 guidelines. 

•New Cancellation Policy

Amid the ongoing uncertainty of COVID-19, I have modified my cancellation policy to offer greater flexibility to students. I hope this will alleviate any stress and hesitation you have about an upcoming class. If you need to reschedule or cancel if you are not feeling well, I understand and request for you to please contact me as soon as possible.

•I will be contacting you within 2-3 days after class to inquire about your health. If you have become ill I will take appropriate actions to protect myself and other students.

Acknowledgement and Release

I hereby acknowledge that I have read the foregoing White Cloud Institute Student class Consent Form. I release Caryn Diel from any and all claims of malpractice, non-disclosure, or lack of informed consent. I freely assume any and all risks, whether presently contemplated or hereinafter discovered.

Signed___________________________________________Date_________