COVID-19 Supplemental Waiver
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that Maryland Twisters MoCo has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19, however despite Maryland Twisters MoCo’s best efforts to minimize the risks of contracting and/or spreading the COVID-19 virus, the virus is highly contagious and can be contagious even if there are no symptoms.

I further acknowledge that Maryland Twisters MoCo cannot guarantee that neither I nor my athlete will not become infected with the Coronavirus/Covid-19.

I understand that the risks of becoming exposed to and/or infected by the Coronavirus/COVID-19 (i.e., illness, disability, death, monetary loss, etc.) may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, and other athletes, parents and visitors to Maryland Twisters MoCo. and voluntarily assume those risks.

I voluntarily seek services for my child provided by Maryland Twisters MoCo and assume the risk of exposure to the Coronavirus/COVID-19.

I agree that I/we must comply with all set procedures to reduce the spread while attending my appointment
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Athlete Name *
Please read and initial each section
I attest that:
 I, as well as all household members, am/are not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. *
* I, as well as all household members, have not traveled internationally within the last 14 days. *
* I, as well as all household members, have not traveled to a highly impacted area within the United States of America in the last 14 days. *
* I, as well as all household members, do not believe I/we have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. *
* I, as well as all household members, have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities. *
* I, as well as all household members, am/are following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. *
I further agree to immediately notify Maryland Twisters MoCo if facts or circumstances change such that I can no longer attest to any of the above statements and will withhold my child from attending and securing services from Maryland Twisters MoCo if directed to do so after such notification. *
I hereby release and agree to hold Maryland Twisters MoCo harmless from, and waive on behalf of myself, my child, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property resulting from the contraction of COVID-19 that may be caused by any act, or failure to act of the organization, or that may otherwise arise in any way in connection with any services received from Maryland Twisters MoCo. I understand that this release discharges Maryland Twisters MoCo from any liability or claim that I, my heirs, or any personal representatives may have against the organization with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from the contraction of COVID-19 that may result from participating and/or receipt of any services from Maryland Twisters MoCo.  This liability waiver and release extends to the organization together with all owners, partners, and employees.  By signing below I acknowledge and represent that I have read the foregoing, understand it and sign it voluntarily as my own free act, including without limitation the assumption of risk and release of liability. (Full Name as signature) *
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