Assumption of Risk, Waiver and Release of Liability Agreement Relating to COVID-19Non-school Activity AcknowledgementThis Assumption of Risk, Waiver and Release of Liability (“Agreement”) relates to the risk that I might be exposed to the novel coronavirus, COVID-19 if I participate in BOYS BASKETBALL. COVID-19 has been declared a worldwide pandemic by the World Health Organization and is believed to be extremely contagious. Recommendations from federal, state and local governments and health agencies include social distancing and wearing face masks.IN CONSIDERATION FOR BEING ALLOWED TO PARTICIPATE IN BOYS BASKETBALL, I ACKNOWLEDGE AND AGREE TO THE FOLLOWING PROVISIONS IN THIS AGREEMENT.1. ACKNOWLEDGMENT, ACCEPTANCE AND ASSUMPTION OF RISKS.I acknowledge and accept that BOYS BASKETBALL cannot guarantee that I will not be exposed to COVID-19 as a result of participating in BOYS BASKETBALL.I acknowledge and accept that my participation in BOYS BASKETBALL could increase my risk of exposure to COVID-19 and could result in my contracting COVID-19.I acknowledge and accept that the risks of COVID-19 include, but are not limited to serious illness, permanent disability and death; and that unknown risks may be associated with COVID-19.I voluntarily elect to participate in BOYS BASKETBALL and accept and assume all of the risks related to exposure to COVID-19 while engaging in those activities, including known and unknown risks. I acknowledge and agree to follow all COVID -19 operational guidelines put in place by BOYS BASKETBALL to protect the health and safety of all participants.I will keep my son/daughter home and not participate in BOYS BASKETBALL if at any time they exhibit any of the following symptoms:Shortness of breathCoughA temperatureLoss of taste and/or smellI SPECIFICALLY AGREE TO ASSUME ALL RESPONSIBILITY AND LIABILITY FOR ANY AND ALL ILLNESS, INJURY, PERMANENT DISABILITY OR DEATH I MAY SUSTAIN DUE TO EXPOSURE TO COVID-19 FROM PARTICIPATING IN A DISTRICT-SPONSORED ACTIVITY, EVEN IF CAUSED BY NEGLIGENCE OF THE DISTRICT, ITS OFFICERS, OFFICIALS, AGENTS, EMPLOYEES, VOLUNTEERS, OTHER PARTICIPANTS, SPONSORING AGENCIES, OR OTHER SPONSORS. _____ Parent Initial Here2. RELEASE AND WAIVER OF LIABILITYIN CONSIDERATION FOR BEING PERMITTED TO PARTICIPATE IN BOYS BASKETBALL, I AGREE, FOR MYSELF AND MY HEIRS, ESTATE, GUARDIANS AND LEGAL REPRESENTATIVES, TO RELEASE, HOLD HARMLESS, INDEMNIFY AND COVENANT NOT TO SUE THE DISTRICT-RELEASED PARTIES FOR ANY CLAIMS OR DAMAGES OF ANY KIND RESULTING FROM EXPOSURE TO COVID-19 AT BOYS BASKETBALL.THIS RELEASE AND WAIVER OF LIABILITY APPLIES TO, BUT IS NOT LIMITED TO, CLAIMS ARISING FROM ILLNESS, INJURY OR DEATH CAUSED BY PASSIVE OR ACTIVE NEGLIGENCE OF THE SPONSORING PARTY OF THIS ACTIVITY THAT MAY CONTRIBUTE TO MY EXPOSURE TO COVID-19 WHILE PARTICIPATING IN BOYS BASKETBALL_____ Parent Initial Here3. GENERAL TERMSThis Agreement may not be modified or amended unless done in writing and signed by me and the Activity Sponsor. Any discussion, agreements or understandings not stated in this agreement are not part of this agreement.I ACKNOWLEDGE AND AGREE THAT THE DISTRICT DID NOT ENCOURAGE OR INDUCE ME TO SIGN THIS AGREEMENT.I HAVE CAREFULLY READ AND UNDERSTAND THE TERMS AND CONDITIONS IN THIS AGREEMENT. I AM AWARE THAT THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY RELATED TO EXPOSURE TO COVID-19 AND I VOLUNTARILY SIGN IT ON MY OWN FREE WILL. _____ Parent Initial HereDated this _____ day of _____________, 20_____.______________________________________ _____________________________Name of Participant (Type or Print) Signature of ParticipantAge of Participant: __________________I, a parent or guardian with legal responsibility for this participant, acknowledge that I have read this Agreement, understand its provisions, and have explained its provisions to my child/children. I, for myself, and for my child consent and agree to his/her release of claims for exposure to COVID-19 provided in the Agreement. I, for myself, and for my child/children release and agree to indemnify and hold harmless the Activity Sponsors from any and all liability or claims incident to my child’s presence or participation in ______________ activity as provided above.Dated this _____ day of _____________, 20_____.______________________________________ _____________________________Name of Parent (Type or Print) Signature of Parent *
