PARTICIPANT WAIVER AND RELEASE
In consideration of my (“I”, “my” or “myself”) and/or on behalf of my child/ward’s (each a “Ward”)
participation as a competitor, volunteer (or other staff member) and/or spectator (any of the foregoing, a
“Participant”) in the Love on the Spectrum relational training program or other Autism Society Tidewater
Virginia operated, licensed or sponsored event(s) (any of the foregoing and any ancillary
events/activities/operations related thereto, an “Event”), I, on behalf of myself and Ward, acknowledge, accept
and agree the following:
(1) COVID-19: By signing this COVID-19 Waiver, I acknowledge the contagious nature of the
SARS-CoV-2 virus (the “novel coronavirus”) and voluntarily assume the risk that I, on behalf of myself,
and, if applicable, my Ward, may be exposed to or infected by the novel coronavirus by attending and/or
participating in the Event, and that such exposure or infection may result in personal injury, illness,
permanent disability, and death. I understand that the risk of becoming exposed to the novel coronavirus
or persons with the COVID-19 disease at the Event may result from the actions, omissions, or negligence
of myself and others, including, but not limited to, other Participants or any Releasee.
I knowingly and voluntarily agree to comply with and adhere to all COVID-19-related safety and risk
mitigation practices during my attendance and participation in the Event, whether communicated
verbally or in writing. Such practices may include but are not limited to: (i) recognized social distancing
practices; (ii) wearing a proper face mask when in large groups indoors; and (iii) washing hands and/or
using hand sanitizer frequently and avoiding touching of the face. I acknowledge and agree that my, or
my Ward’s, compliance with these safety and mitigation practices is not only for my own benefit but also
for the benefit of other Participants and the Releasee parties at the Event. I voluntarily assume the risk
that I, on behalf of myself, and, if applicable, my Ward, may be exposed to the novel coronavirus or
persons with the COVID-19 disease as a result from a failure to comply with such practices.
Further, notwithstanding the foregoing, I agree that I, on behalf of myself or my Ward, will neither
attend nor participate in an Event if I or my Ward have, within the past 14 days: (i) have a
suspected/confirmed case of COVID-19; (ii) experienced any symptoms of COVID- 19 including, without
limitation, fever, cough or shortness of breath; or (iii) have been in close contact with a person known to
have COVID-19 (or any known symptoms thereof).
(2) To the fullest extent permissible by applicable law, I, on behalf of myself, and/or my Ward (if applicable),
and our respective heirs, assigns, spouses, partners, personal representatives and/or next of kin, forever
WAIVE, RELEASE, DISCHARGE and COVENANT NOT TO SUE Autism Society Tidewater Virginia ,
all sponsors of the event located at the FACT Autism Resource Center or other venue owner(s) of the Event, and their
respective owners, officers, directors, employees, contractors, representatives, agents and affiliates and, as
applicable, any direct or indirect parent or subsidiary, predecessor, successor, heir, assign, media partners,
associated charity, sponsor or medical providers of any of the foregoing (collectively, the “Releasees”) WITH
RESPECT TO ANY SUITS, CLAIMS, OR LOSS AND ALL INJURY, DISABILITY, DEATH, AND/OR
LOSS OR DAMAGE TO PERSON OR PROPERTY, IN CONNECTION WITH MY OR MY WARD’S
PARTICIPATION IN THE EVENT, WHETHER ARISING FROM THE NEGLIGENCE OR WILLFUL
CONDUCT OF THE RELEASEES OR OTHERWISE.
I further agree to indemnify, defend, and hold harmless Releasees from any loss liability, cost, claim and/or
damages arising from Participant’s participation in or association with the Event, including, but not limited to,
reasonable attorney’s fees.
(3) PHOTO RELEASE: I hereby release all photos taken at events hosted by the Autism Society Tidewater
Virginia and photos sent to the Autism Society Tidewater Virginia of myself and any minor child. The
undersigned hereby waive(s) any claims, demands, damages, actions, or causes of action whatsoever, past,
present or future known or unknown, arising out of or related to any loss, damage, or injury. The undersigned
agrees to complete, sign, and adhere to the terms in this release. The undersigned understands that the Autism
Society Tidewater Virginia and staff involved are not liable for any claims.
(4) If any of the provisions of this COVID-19 Waiver and Photo Release shall be deemed by a court of
competent jurisdiction invalid or unenforceable in any respect, then, to the fullest extent permitted by applicable
law, all other provisions hereof shall remain in full force and effect.
I HAVE READ AND FULLY UNDERSTAND THIS COVID-19 WAIVER AND PHOTO RELEASE. I
UNDERSTAND THAT I HAVE GIVEN UP, ON BEHALF OF MYSELF AND MY WARD,
SUBSTANTIAL RIGHTS BY AGREEING TO IT, FREELY AND VOLUNTARILY.
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