I hereby give my/our consent and agree to release, indemnify and hold harmless “I Got Skills” and all personnel, including staff, Coaches, Board members and representatives, and any other participants, sponsors, advertisers (“Releases”), with respect TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I/We understand the risk of injury involved in this activity is significant, including the potential for permanent paralysis and even death, and KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, even if arising from the negligence of others. I/We agree to comply with the rules and conditions for participation. I/We agree to remove myself/ourselves from participation if I/We observe any unusual or significant hazard.
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that I Got Skills has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that I Got Skills can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families.
I voluntarily seek services provided by I Got Skills and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold I Got Skills harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from I Got Skills. I understand that this release discharges I Got Skills from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from I Got Skills. This liability waiver and release extends to the salon together with all owners, partners, and employees.
I also grant I Got Skills the right to photograph, and video record the below named individual’s participation in soccer activities and use the photographs/videos in future brochures, advertising and newspaper reporting.
I/WE HAVE READ THIS RELEASE OF LIABILITY AND FULLY UNDERSTAND ITS TERMS AND
CONDITIONS AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT. I/WE
AGREE FREELY AND VOLUNTARILY AND WITHOUT INDUCEMENT.
EMERGENCY AUTHORIZATION
I hereby authorize the coaches, staff, board members or parents of acting in a capacity of activity
supervisors, as agents for the undersigned, do hereby consent to medical, surgical or dental
examination or treatment in the case of an emergency. I hereby authorize treatment and/or care
of the participant in ANY hospital and/or medical physician.
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