Covid-19 Liability Release Waivier

To be completed by all Camp Participants

This COVID Release and Waiver is in addition to and does not replace, any other releases of liability, waivers, or documents that have been executed in connection with this camp.

The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person to person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions to which little medical school Seattle, (the "Organization") adheres to comply.

Assumption of Risk:

In consideration of my participation in the foregoing, the undersigned acknowledges and agrees to the following:

I am aware of the existence of the risk on my physical appearance to the venue and my participation in the activity of the Organization that may cause injury or illness such as but not limited to Influenza, MRSA, or COVID-19 that may lead to paralysis or death.(Required)

I Agree

I have not experienced symptoms of fever, fatigue, difficulty in breathing, dry cough, or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.(Required)

I Agree

I have not, nor any member(s) of my household, traveled by sea or by air, internationally within the past 30 days.(Required)

I Agree

I did not, nor any member of my household, visit any area within the United States that was reported to be highly affected by COVID-19, in the last 30 days.(Required)

I Agree

I have not been, nor any member(s) of my household, diagnosed to be infected of the COVID-19 virus within the last 30 days.(Required)

I Agree

Following the pronouncements above I hereby declare the following:

For Parents/Legal Guardians of Minors - As the parent or legal guardian of (the “Minor”), by allowing the Minor to participate in the Event, and by signing this COVID Waiver and Release of Liability, I, on my own behalf and/or on behalf of Minor, am assuming all risks, responsibility, and liability concerning Minor’s and my health and safety and possible exposure to COVID in connection with the camp.

Release: In consideration of the privilege of Minor participating in the camp, the sufficiency of which is hereby acknowledged, I, on my own behalf and/or on behalf of Minor, agree to release and to hold harmless little medical school Seattle, little medical school corporate office, community club on whose premises the Camp will occur, employees and contractors of the preceding parties (hereinafter collectively “Releasees”) from any and all liability, whether caused by the negligence of the Releasees or otherwise, for any claim, judgment, loss, liability, cost, and expenses (including, without limitations, attorney’s fees and costs) arising out of or connected with associated with Minor’s participation in the camp and Minor’s and/or my possible exposure to COVID.

I, on my own behalf and/or on behalf of Minor, hereby warrant that I have read this COVID Waiver and Release of Liability in its entirety and fully understand its contents. I, on my own behalf and/or on behalf of Minor, am aware that this document releases from liability and contains an acknowledgment of my voluntary and knowing assumption of the risk of injury, illness, and death. I, on my own behalf and/or on behalf of Minor, have signed this document voluntarily and of my own free will.

I am fully and personally responsible for my own safety and actions while and during my participation and I recognize that I may be in any case be at risk of contracting COVID-19(Required)

I Agree

With full knowledge of the risks involved, I hereby release, waive, discharge the little medical school Seattle, its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19.(Required)

I Agree

]I agree to indemnify, defend, and hold harmless the little medical school Seattle from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.(Required)

I Agree

By completing the fields below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

Date(Required)

Minor Name(Required)

Relationship to Minor(Required)

Phone Number(Required)