Rising Stock Basketball Academy Participation Waiver for Communicable Diseases Including COVID-19
The COVID-19 pandemic has presented athletics across the world with a myriad of challenges concerning this highly contagious illness that primarily attacks the upper respiratory system. Some severe outcomes have been reported in children, and a child with a mild or even asymptomatic case of COVID-19 can spread the infection to others who may be far more vulnerable.  

While it is not possible to eliminate all risk of furthering the spread of COVID-19, the Rising Stock Basketball Academy, llc (RSBA) will take necessary precautions and comply with guidelines from the federal, state, and local governments, CDC, PA DOH to reduce the risks to students, coaches, and their families. As knowledge regarding COVID-19 is constantly changing, RSBA reserves the right to adjust and implement precautionary methods as necessary to decrease the risk of exposure for our staff and campers.  Some precautionary methods in the RSBA Resocialization of Sports Recommendations include but may not be limited to:
1. Health screenings prior to camp with participation in the activities being limited and/or prohibited where an individual displays positive responses or symptoms.
2. Encourage social distancing and promote healthy hygiene practices such as hand washing, using hand sanitizer, etc.
3. Intensify cleaning, disinfection, and ventilation in all facilities.
4. Educate Campers and Staff on health and safety protocols.
5. Require Campers and Staff to provide their own water bottle for hydration.

By signing this form, the undersigned voluntarily agree to the following Waiver and release of liability. The undersigned agree to release and discharge all claims for ourselves, our heirs, and as a parent or legal guardian for the Camper named below, against the Rising Stock Basketball Academy, Assumption, BVM its Board of Directors, successors, assigns, officers, agents, employees, and volunteers and will hold them harmless from any and all liability or demands for personal injury, psychological injury, sickness, death, or claims resulting from personal injury or property damage, of any nature whatsoever which may be incurred by the Camper or the undersigned relating to or as a result of the Camper’s participation in camp programs, events, and activities during the COVID-19 pandemic.

 The undersigned acknowledge that participating in camp programs, events, and activities may include a possible exposure to a communicable disease including but not limited to MRSA, influenza, and COVID-19. The undersigned further acknowledge that they are aware of the risks associated with COVID-19 and that certain vulnerable individuals may have greater health risks associated with exposure to COVID-19, including individuals with serious underlying health conditions such as, but not limited to: high blood pressure, chronic lung disease, diabetes, asthma, and those whose immune systems that are compromised by chemotherapy for cancer, and other conditions requiring such therapy.  While particular recommendations and personal discipline may reduce the risks associated with participating in athletics during the COVID-19 pandemic, the risk of serious illness, medical complications and possible death does exist.

We knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of others, and assume full responsibility for Camper’s participation in athletics during the COVID-19 pandemic.  We willingly agree to comply with the stated recommendations put forth by the RSBA to limit the exposure and spread of COVID-19 and other communicable diseases. We certify that Participant is in good physical condition or believe Participant to be in good physical condition and allow participation in this sport at our own risk.  

Sign in to Google to save your progress. Learn more
Last name of the camper *
First Name of the camper *
Session Attending *
Required
By checking "yes" I agree to the terms above *
Name of person completing this form.  By adding your name I agree to the waiver and release of liability *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy