ACCIDENT WAIVER AND RELEASE OF LIABILITY
COVID-19 LIABILITY RELEASE WAIVER
Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), our business is taking extra precautions with the care of every client to include health history review and enhanced sanitation/disinfecting procedures in compliance with CDC guidance.
Symptoms of COVID-19 include:
I agree to the following:
I understand the above symptoms and affirm that I, as well as all household
members, do not currently have, nor have experienced the symptoms listed above
within the last 14 days.
I affirm that I, as well as all household members, have not been diagnosed with
COVID-19 within the past 30 days.
I affirm that I, as well as all household members, have not knowingly been exposed
to anyone diagnosed with COVID-19 within the past 30 days.
I affirm that I, as well as all household members, have not traveled outside of the
country or to any city considered to be a “hot spot” for COVID-19 infections within
the past 30-days.
I understand that Tap Into The Network and it's affiliates can not be held liable for any exposure
to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.
Our business is following enhanced procedures suggested by the local health and city guidelines. To help prevent the spread of COVID-19:
Please wear a mask at all times while you are attending the event. The mask may be removed briefly for water or food consumption.
Please allow room for social distancing.
Wash and sanitize hands regularly.
There will be no observation room available. Participants only.
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, via in-person or digital content, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate and that it will govern my actions and responsibilities at said activity.
In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Tap Into The Network, (TITN) and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I acknowledge that TITN and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include but are not limited to, those caused by terrain, facilities, temperature, weather, the condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
IMAGE AND LIKENESS
I understand while participating in this activity, I may be photographed and/or filmed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. I agree that TITN shall own all right, title and interest to the media and that it may exploit, edit, modify, and distribute, without limitation, and without compensation, further permission or notification to me. I hereby waive any inspection or approval of use. I also waive and release TITN from any claims based upon invasion of privacy, right of publicity, defamation, false endorsement, or claim of visual or audio alteration or faulty mechanical reproduction. No promise or representations of any kind have been made to me.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.