WSRC Covid-19 Waiver sign-off

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This electronic form accompanies the WSRC Covid-19 waiver
Note - You may opt to sign a paper copy. If so, please print and delivery the signed version to the WSRC Office

Name *

e-mail

Acknowledgment of Receipt

By completing this electronic form, I acknowledge that I have received and read the WEDDINGTON SWIM AND RACQUET CLUB ASSUMPTION OF THE RISK WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT

Link to waiver https://drive.google.com/open?id=1-2pukY7C6cfTUXMBoTF0HeVQHYzyb-Bx

Covid-19 *

I acknowledge that Covid-19 is a potentially dangerous and life threatening disease.

I Agree

Required

Safety Policy and Procedures *

I agree to follow the posted policies and procedures Link to Procedures: https://drive.google.com/open?id=18zEVQkJbtDdnY0zFOsAUxcq4MbSnPA_i

I Agree and Will Follow

Required

Release of Liability *

I agree to release WSRC from and all liability per the waiver, and I agree to not participate in WSRC activites if I am exposed to and/or exhibit symptoms of Covid-19, per the waiver.

I Agree and will Comply

Required

Indemnity *

Per the WSRC Covid-19 waiver, I agree to indemnify Weddington and Racquet Club.

I Agree

Required

Electronic Signature *

By selecting "I Agree and Accept" below, I am electronically signing the Weddington Swim and Racquet Club Covid-19 Waiver

I Agree and Accept

Required

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