COB Waiver & Release of Liability, Permission & Authorization Form: In consideration of being allowed to participate in the City of Burlington’s program listed above, and related events and activities, I hereby acknowledge and agree on behalf of myself and my minor child(ren) as follows:I RELEASE AND AGREE TO HOLD HARMLESS AND INDEMNIFY the City of Burlington, its elected officials, employees, agents, and volunteers, and its Recreation & Parks Department from and against any and all liability, and from and against any claims, demands, costs or expenses, or causes of action, of whatever kind or nature, which may arise from or relate in any way, directly or indirectly, with my and/or my child(ren)’s activities related to the City of Burlington, or my or my child(ren)’s presence at any location occupied or controlled by the City of Burlington, its employees or supervisors.I expressly acknowledge that I am aware that the above trip/activity/program, even under the safest of conditions possible, may involve risk to me or my child(ren). Nevertheless, I expressly assume all risk or hazard related or coincidental to, arising out of or connected to, the above trip/activity/program, including risk of loss or damage to personal property and/or personal injury, including permanent disability or death, however caused. I assume all the forgoing risks and accept personal responsibility for all expenses, medical or otherwise, following any such damages, injury, permanent disability or death to myself or my minor child(ren). Coronavirus/COVID-19 Warning & Disclaimer - Coronavirus, COVID-19 is a contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a means to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in City of Burlington Parks & Recreation programs or accessing City of Burlington Parks & Recreation facilities could increase the risk of contracting COVID-19. The City of Burlington and its Parks & Recreation Department in no way warrants that COVID-19 infection will not occur through participation in City of Burlington Parks & Recreation programs or when accessing City of Burlington Parks and Recreation facilities.I permit the City of Burlington to use and publish photographs and/or video of me and/or my children for purposes of promoting recreation activities to the community, news releases, or for other documentary purposes of the City. I give my permission to the City of Burlington its employees, its agents, and/or contractors and its volunteers the full authority to take whatever action they feel is warranted under the circumstances regarding my health and safety. I also give my permission to permit emergency transportation, if needed. *
