COVID WAVIER

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/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. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Arizona Lutheran Outdoor Ministry Association has put in place preventative measures to reduce the spread of COVID-19; however, Arizona Lutheran Outdoor Ministry Association cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, participation in camp programs could increase your risk of contracting COVID-19.

 

READ CAREFULLY BEFORE SIGNING – INITIAL EACH PARAGRAPH

 

___ INITIALS By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participation; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that there is a risk of becoming exposed to or infected by COVID-19 at Arizona Lutheran Outdoor Ministry Association.

 

___ INITIALS I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself or my child(ren) (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation at Arizona Lutheran Outdoor Ministry Association. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Arizona Lutheran Outdoor Ministry Association, its employees, agents, Board Members, Member Churches and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Arizona Lutheran Outdoor Ministry Association, its employees, agents, Board Members, Member Churches, and representatives, whether a COVID-19 infection occurs before, during, or after participation at Arizona Lutheran Outdoor Ministry Association,.

 

___ INITIALS By signing this document, I agree that if I am exposed or infected by COVID-19 during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence.

 

____ INITIALS I agree that to the best of their ability myself and/or my child(ren) will follow all camp safety guidelines laid out by Arizona Lutheran Outdoor Ministry Association, and will attempt to practice safe social distancing and clean hygiene at all times during their participation at Arizona Lutheran Outdoor Ministry Association. Failure to comply with provided safety guidelines will result in mine or my child’s expulsion from camp.

 

 

Signature _______________________________________________ Print Name _____________________________________________

 

Address City State Zip ___________________________________________________________________________________________

 

Telephone ______________________________________________ Date ___________________________________________________

 

 

PARENT OR GUARDIAN ADDITIONAL AGREEMENT

(Must be completed for participants under the age of 18)

 

In consideration of _________________________________ (PRINT minor’s names) being permitted to participate in this activity, I further agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor.

 

Parent or Guardian _____________________________________ Print Name ________________________________Date ____________