Osher Marin JCC (JCC) Minor Participant Waiver, Release, Indemnification of All Claims & Covenant Not to Sue
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Minor's Last Name *
Minor's First Name *
Waiver of Liability and Assumption of Risk
I in my legal capacity as the parent/guardian of the minor named above hereby acknowledge and agree that activities in the JCC can lead to serious physical injuries.  Participant acknowledges and agrees that he/she is voluntarily assuming these risks and solely responsible for his/her safe and responsible use of the Facilities, whether or not supervised by JCC representative.  Participant hereby expressly assumes the risk that he/she may suffer injury as a result of his/her use of Facilities or equipment or participation in JCC activities.

In consideration of named minor's participation in any and all programs and services of the JCC I, the parent/guardian of the minor named above, agrees for myself and on behalf of the minor named above, my heirs, representatives, successors and assigns ("participant parties") that the JCC, including its owners, partners, members, directors, officers, employees and agents ("JCC parties") will not be liable for any damages or injuries participant parties may suffer in or about JCC.  I agree on behalf of myself and the minor named above that none of them will make any claim against, sue or attach the property of any JCC party or affiliate thereof.  I agree that JCC will not be liable for any loss, theft or damage to the minor child named above's personal property in or about the Facilities including any personal property kept in a locker at the JCC.  I further certify that the named minor in good health and that has no conditions or impairments which would preclude his/her safe participation in JCC activities.
Coronavirus / COVID-19 Warning & Disclaimer
Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact.  Federal and state authorities recommend social distancing and masks 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 JCC programs or accessing JCC facilities could increase the risk of contracting COVID-19.  JCC in no way warrants that COVID-19 infection will not occur through participation in our programs or accessing our facilities.

CDC and other governmental guidelines are continually being updated regarding individuals who may be more susceptible to contracting the virus or who may suffer more severe consequences as a result if having the virus.  I understand that I, the minor child named above, and/or other members of my family may have underlying conditions that place them at a higher risk of serious consequences from contracting the virus and I willingly consent and agree to participate with full knowledge and understanding of this increased risk.
I further certify that my date of birth is *
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My present age is *
and that I am therefore of lawful age and otherwise legally competent to sign this agreement and that I have legal capacity to act as the parent/guardian of the named minor.  I further understand that the terms of this agreement are legally binding and certify that I am signing this agreement, after having carefully read it, of my own free will.
IN WITNESS WHEREOF, this instrument is duly executed this *
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Parent/Guardian Signature *
ELECTRONIC SIGNATURE CONSENT *
Required
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