ACKNOWLEDGMENT, WAIVER, RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT FOR PARTICIPATION IN PROM I represent the participant identified in the Google Form being completed online. I have signed up to participate in the PROM. I understand that the following conditions apply to my participation in this program: Acknowledgment of Activity and Assumption of Risks. I understand that participating in Volunteer Activities amongst other students and staff, involves inherent risks. I understand, acknowledge, and agree that my participation in the Volunteer Activities may subject me to an increased risk of being exposed to, being infected with, and suffering from communicable diseases such as the novel coronavirus and COVID-19, including without limitation all attendant bodily injuries and sickness up to and including death, and my participation in the Volunteer Activities may be dangerous, strenuous, hazardous, and/or present risks to my health. I understand that participation in the Volunteer Activities involves certain inherent risks and that, regardless of the precautions taken by the School District or the participants, including without limitation following the recommendations of federal, state, and local health officials, such as those of the Center for Disease Control and others, some bodily injury and/or disease may occur. These injuries include but are not limited to burns, cuts and lacerations, eye injuries, loss of hearing, muscle strain, sprains, dislocated joints, broken bones, back injury, head injury, contraction of infectious disease, or other bodily injuries that could result in disease, sickness, suffering, permanent disability, quadriplegia, and even death. These injuries may result from hazards such, as but not limited to, stepping on uneven ground, lifting or carrying objects, being struck by failing equipment and/or objects, being burned, catching fire, colliding with fellow participants, volunteers, students, and/or spectators, being exposed to communicable diseases, contracting communicable diseases, suffering from symptoms of communicable diseases, and/or other injuries. I have considered these risks and I am fully informed of the inherent risks, and all potential consequences of the same. I hereby assume the risk of any and all such injuries that may occur as a result of my participation in the Volunteer Activities.Declaration. I declare that I am in good physical condition and suffering from no condition, impairment, ailment, or other illness that would prevent me from fully participating in the Volunteer Activities. I acknowledge that I have either had a physical examination and have specifically been given permission by my physician to engage in the Volunteer Activities at this time or that I have decided that I will participate in the Volunteer Activities without the express approval of a physician and I hereby assume all responsibility for such decisions.Release of Liability, Waiver, and Indemnification. In consideration of permission granted by the School District for me to participate in the Volunteer Activities, I do hereby waive, release, and forever discharge the School District, its board of education, officers, agents, employees, volunteers, coaches, sponsors, insurers, legal counsel, and representatives (the “Released Parties”) from any and all claims, including without limitation any and all demands, rights, lawsuits, actions, cross-claims, counterclaims, third-party actions, liens, damages, debts, obligations, exemplary damages, consequential damages, punitive damages, liabilities, losses, expenses, and causes of action (hereinafter, “Claims”) that I, or one of my heirs, executors, administrators, or assigns may have against the Released Parties for all damages whatsoever, including without limitation any and all bodily injuries or loss of property which result from my participation in the Volunteer Activities, whether such injuries are caused by my negligence or the negligence of one or more of the Released Parties. Further, and without affecting the release and waiver stated herein, I agree to hold harmless, defend, and indemnify the Released Parties against any and all Claims that arise out of, are related to, or are in connection with my participation in the Volunteer Activities. I also agree to pay for any costs, attorney fees, or awards that may result from resisting any complaint or lawsuit that my heirs, executors, administrators, assigns, or I bring against one or more of the Released Parties for any injury or loss I claim to have suffered.Expectation to Comply with Instructions and Directives. I understand that I am expected to follow all instructions given to me by the supervising coach, sponsor, or school district employee who will be supervising my participation in the Volunteer Activities, including but not limited to complying with all directives and guidelines suggested by the Centers for Disease Control and local health authorities. I have reviewed those guidelines. I, the undersigned, have read this Acknowledgment, Waiver, and Release and understand all its terms. I execute it voluntarily and with full knowledge of its significance. I UNDERSTAND THAT IT CONTAINS A RELEASE OF LIABILITY, WAIVER, AND AN INDEMNIFICATION AND THAT I SHOULD READ IT CAREFULLY BEFORE SIGNING the online form. VOLUNTEER’S NAME: (electronic signature provided via Google Form online) *
