Dual Enrollment COVID-19 Student Medical Waiver

The COVID-19 Student Medical Waiver is required by all students participating in or attending an on-campus class session, clinical site location, or participating in a lab component offered at a Lanier Technical College Campus. The COVID-19 Student Medical Waiver is to ensure all students are voluntarily participating in on campus or site location activities and aware of all necessary precautions to ensure the health and safety of all parties.

For all questions concerning the COVID-19 Student Medical Waiver, please contact the Office of Academic Affairs at academicaffairs@laniertech.edu


Dual Enrollment COVID-19 Student Medical Waiver

  • Student Agreement

    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 time 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 of 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.
  • Date Format: MM slash DD slash YYYY
  • Parent/Guardian Agreement

    I am the parent or legal guardian of the above-named student and understand that his/her participation in the offered lab assignment is voluntary and that he/she would be given an opportunity to perform the assignment at a later time if he/she chose. He/she is 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 of my questions addressed and am waiving any claim that he/she might have, now or in the future, related to any injury or illness he/she could potentially sustain due to participation in the offered lab assignment. Furthermore I am giving my express permission for he/she to be medically examined prior to commencing the lab assignment.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

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