ATTENTION PACKAGE STUDENTS

If you need to cancel or reschedule, please call your instructor or the office ASAP at 716-674-2340.

NO MASK, NO LESSON

 

Please check off the Boxes below, fill in the Student Name and Parent Name if applicable.

You're also required to fill in the Precautionary Coronavirus Liability Release Form below.
Thank you.

Here are some things we are implementing to help keep our workplace and cars safe and to support you:

  • More frequent cleaning and sanitizing in cars (before and after each lesson), classrooms and offices.
  • Access to hand sanitizer throughout the workplace and in cars.
  • Longer sanitization/commute times between students (to account for cleaning and travel).
  • More frequent updates on our business, projections, new policies and requirements, your health and safety, and measures we are taking to support you and our community.
  • New limits on the number of people allowed to gather in rooms, conference rooms, and communal areas at one time.

 

Here are the protocols that we are implementing (No Exceptions) for our employees to keep our clients and workplace safe:

  • All Instructors will be in constant communication with management regarding their health.
  • Wash your hands often, and for the recommended 20 seconds.
  • Stay at least 6 feet apart when moving through the workplace.
  • You are required to wear a face mask or face covering while on the job- (when entering the offices and in the vehicles with students)
  • Be considerate of your co-workers (remember, we're all in this together).
  • Regular/Daily personal hygiene practices are of utmost importance (clothing must be changed and/or washed daily).

Precautionary Coronavirus Liability Release Form

Due to the outbreak of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each student, health history review, as well as sanitization and disinfecting practices. Please complete the following and sign below. If the student is under the age of 18, the parent and student must sign. If the student is 18 years or older then only they have to sign.

Symptoms of COVID-19 include:

  • Fever
  • Confusion
  • Fatigue
  • New Widespread Muscle Pain
  • Dry Cough
  • Headaches
  • Difficulty Breathing
  • Red or Purple Toes
  • Chills
  • Loss of taste and smell
  • Nausea
  • Bruising, redness, swelling or cramping in lower legs or feet
  • Diarrhea

 

I, agree to the following:

I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the past 14 days. I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the last 30 days. I affirm that I, as well as all household members, have not traveled outside of the country, or to any city outside of our own that is or has been considered a "hot spot" for COVID-19 infections within the last 30 days. I understand that this business and my instructor cannot be held liable for any exposure to the virus or any other contagion caused by misinformation on this form or the health history provided.

I understand that each time I get into the car with my instructor that I have to wear a mask or I will not receive a driving lesson and a cancellation fee will be imposed if I am not prepared.

By signing below I agree to each above statement and release the business and the instructor from any and all liability for the unintentional exposure or harm due to the COVID-19.

Your instructor and all employees of Stevens Driving School agree that they abide by these same standards and affirm the same. We also affirm that we have improved and expanded our sanitization protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions.

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