General Release and Acknowledgement of Assumption of Risk Form
COVID-19: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. It is believed that an individual can be in infected with COVID-19 without their knowledge and be asymptomatic. Charmers Lacrosse Club has put in place preventative measures to reduce the spread of COVID-19. However, Charmers Lacrosse Club cannot guarantee that your daughter or anyone else will not become infected with COVID-19, including your daughter's family members and/or relatives. Participation in a Charmers Lacrosse Club athletic sports program(s), related event, or activity, could increase the risk of contracting COVID-19. By signing this agreement, I ACKOWLEDGE the contagious nature of COVID-19 and VOLUNTARILY ASSUME THE RISK that my daughter may be exposed to or infected by COVID-19 by participating in a Charmers Lacrosse Club athletic sports program(s), related event, or activity, and that such exposure or infection may result in personal injury, illness, permanent disability, and death to my daughter, myself, my spouse, guests, unborn child, or relatives. I understand that the risk of becoming exposed to or infected by COVID-19 at a Charmers Lacrosse Club athletic sports program(s), related event, or activity may result from the actions, omissions, or negligence of my daughter or others, including, but not limited to, Charmers Lacrosse Club employees, volunteers, and program participants. I, on behalf of my daughter, UNDERSTAND AND VOLUNTARILY ACCEPT AND ASSUME ALL the foregoing risks related to COVID-19 and accept sole responsibility for any injury or illness that may occur and expressly agree to waive any and all claims against Charmers Lacrosse Club. Further, I UNDERSTAND AND AGREE that this release includes any claims based on the actions, omissions, or negligence of Charmers Lacrosse Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Charmers Lacrosse Club athletic sports program(s), related event, or activity.
I understand that Charmers Lacrosse Club events are voluntary. Further, the undersigned, individually and as parent/guardian of my daughter, ourselves, and heirs, executors, administrators, and assigns, hereby release, acquit, and forever discharge Charmers Lacrosse Club, its officers, directors, agents servants, employees, and insurance carrier(s) (collectively, the "Associated Parties") of and from any and all suits, actions, causes of action, claims, or demands for damages, costs, loss of use, loss of services, loss of consortium, expenses, compensation, consequential damage, punitive damage, or any other thing whatsoever on account of, or in any way growing out of, any and all personal injuries, illnesses, or death resulting or to result from any occurrence or accident that may happen as a result of or arise out of our participation in the Charmers Lacrosse Club, be it COVID-19-related or otherwise. I hereby agree to indemnify, defend, and hold harmless the Associated Parties against any and all such claims. No promise or inducement which is not herein expressed has been made to me, and in executing this release I do not rely upon any statement or representation made by any person, firm, or corporation hereby released, or any agent, attorney or any other person representing them or any of them, concerning the possible nature, extent, or duration of said damages or losses or the legal liability thereof. I further agree that this contract shall not be pleased by us to any claim or suit, nor asserted as an admission of liability against the persons, firms, and corporations herby released. This Contract contains the entire agreement between the parties hereto, and its terms are contractual and not mere
recital. I further state that I have carefully read the foregoing Contract and know the contents thereof, and sign the same as my own free act. I hereby execute and deliver this release and acknowledgement to induce the Associated Parties to permit us to participate in the Charmers Lacrosse Club.