Fullcourt Press/Pangos COVID-19 WAIVER FORM

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.
Fullcourt Press/Pangos has put in place preventative measures to reduce the spread of COVID-19;
however, Fullcourt Press/Pangos cannot guarantee that you or your child(ren) will not become
infected with COVID-19. Further, attending Fullcourt Press/Pangos events could increase your risk
and your child(ren)’s risk of contracting COVID-19.
I confirm that I am not presenting any of the following symptoms of COVID-19 listed here: Fever,
Shortness of Breath, Loss of Sense of Taste or Smell, Dry Cough, Runny Nose, Sore Throat
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume
the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending this event
and that such exposure or infection may result in personal injury, illness, permanent disability, and
death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Club may
result from the actions, omissions, or negligence of myself and others, including, but not limited to,
Club employees, volunteers, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to
my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness,
damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur
in connection with my child(ren)’s attendance at the event (“Claims”). On my behalf, and on behalf of
my children, I hereby release, covenant not to sue, discharge, and hold harmless Fullcourt
Press/Pangos, its employees, agents, 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 the Club, its employees, agents, and representatives, whether a COVID-19 infection
occurs before, during, or after participation in any Club program.
I agree to the terms and conditions of the agreement above *