Georgia High School Water Polo Association                    2021 Covid-19 Release and Waiver
INDEPENDENT JUDGMENT BY ATHLETE AND LEGAL GUARDIAN
By entering parent/guardian and/or athlete name and selecting Yes, I agree below,  I/We hereby verify that I/We have read and fully understand each of the following terms and conditions for permitting Athlete to participate in Water Polo Activities, and I/We accept each of the terms and conditions below on behalf of Athlete. The governmental authorities may have determined to permit athletic practices and competitions to resume, notwithstanding the continuing hazards posed by the COVID-19 virus. Neither GHSWPA nor its officers, board members, representatives, agents, administrators, referees, table workers or volunteers possess the medical expertise to determine whether it is safe to resume Water Polo Activities or to assess the degree of risk that you may be undertaking, should Athlete decide to do so. GHSWPA urges you to consult publicly available information, such as that provided by the Centers for Disease Control, your personal physician and/or your local governmental agencies, so that you can make your own independent judgment as to the degree of risk that you will be undertaking should you decide to engage in water polo activities.

APPLICATION OF THIS DOCUMENT
This Release and Waiver applies to high school or American Water Polo or USA Water Polo sanctioned water polo competitions, as well as all water polo practices, clinics, instruction, training, dryland, scrimmages, games and any non-sanctioned competitions that GHSWPA may schedule (collectively, “Water Polo Activities”). Any Water Polo Activities that GHSWPA may schedule will be subject to the willingness of the pool facility to permit such Water Polo Activities.

ACKNOWLEDGEMENTS BY ATHLETE AND LEGAL GUARDIAN
I/We acknowledge that participating in Water Polo Activities is not free from the risk of contracting COVID-19 as a result of Athlete’s participation in Water Polo Activities. As a condition of permitting Athlete to participate in any Water Polo Activity, Athlete or legal guardian of Athlete acknowledges and agrees as follows:
The undersigned acknowledges, appreciates, and agrees that there is a risk of contracting or spreading the COVID-19 virus as a result of Athlete’s participation in Water Polo Activities, that the disease caused by the COVID-19 virus is serious and could result in Athlete’s or others’ serious illness or death, and that such risk cannot be eliminated.

The undersigned/entry of parent/guardian and/or athlete information and submission of this form acknowledges and agrees that neither GHSWPA nor its officers, board members, representatives, agents, administrators, referees, table workers or volunteers have independently assessed the risk of my contracting the COVID-19 virus while participating in Water Polo Activities or undertaken any duty to minimize that risk.

GHSWPA is an additional insured under insurance maintained by American Water Polo; however, the undersigned/entry of parent/guardian and/or athlete information and submission of this form acknowledges that GHSWPA has been informed that Covid-19 is NOT covered under the American Water Polo insurance policy.

ACCEPTANCE OF RISK
Notwithstanding the foregoing, the undersigned/entry of parent/guardian and/or athlete information and submission of this form knowingly and freely assumes all risks associated with the undersigned’s participation in Water Polo Activities and other activities related thereto, including but not limited to risks related to Covid-19.

COVENANT NOT TO SUE
In consideration of being permitted to participate in any Water Polo Activity, I, for myself, my heirs, personal representatives or assigns, do hereby covenant not to sue GHSWPA or its officers, board members, representatives, agents, administrators, referees, table workers or volunteers for liability for any and all claims resulting in personal injury, accidents or illnesses (including death) arising from participation in the Water Polo Activity, including related to Covid-19.

WAIVER AND RELEASE
The undersigned/entry of parent/guardian and/or athlete information and submission of this form hereby waives and releases: (a) GHSWPA and/or GHSWPA’s officers, board members, representatives, agents, administrators, referees, table workers or volunteers, from any and all claims, actions, causes of action and liabilities, whether known or unknown, suspected or unsuspected, of every nature whatsoever that I have, or may have, now or in the future, relating to my having contracted the COVID-19 virus as a result of my participation in Water Polo Activities or my attendance as a spectator at events at which Water Polo Activities occur.

INDEMNIFICATION AND HOLD HARMLESS
I also agree to indemnify and hold harmless GHSWPA, and its officers, board members, representatives, agents, administrators, or volunteers from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in the Water Polo Activity and to reimburse them for any such expenses incurred.

SEVERABILITY
The undersigned/entry of parent/guardian and/or athlete information and submission of this form further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Georgia and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

CONFIRMATION
I/We have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that selecting Yes, I agree below, I am signing the agreement freely and voluntarily, and intend by my selecting Yes, I agree below, to be a complete and unconditional release of all liability to the greatest extent allowed by law.
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Athlete First Name *
Athlete Last Name *
Athlete Birthdate *
Athlete email *
AWP Number *
Must be a Member of American Water Polo (https://awpa.memberclicks.net/)
Athlete Water Polo Club *
Athlete School *
Athlete Grade *
Parent/ Guardian Name *
Parent/Guardian Primary Email Address *
I, Parent/Gaudarian have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that selecting Yes, I agree below, I am signing the agreement freely and voluntarily, and intend by my selecting Yes to be a complete and unconditional release of all liability to the greatest extent allowed by law. *
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I, Athlete have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that selecting Yes,  I am signing the agreement freely and voluntarily, and intend by my selecting Yes, I agree below, to be a complete and unconditional release of all liability to the greatest extent allowed by law. *
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