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Participant Contact Information

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COVID-19 Warning & Disclaimer:

PVAS has developed safety policies and procedures for program operations. COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in our programs could increase the risk of contracting COVID-19. PVAS in no way warrants that COVID-19 infection will not occur through participation in our programs or accessing PVAS facilities. Please sign below that you understand the above and are willing to assume said risks.


By typing your name above, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this agreement.