Covid-19 Acknowledgement & Waiver
pbg

ASSUMPTION OF RISK AND WAIVER OF LIABILITY RELATING TO THE 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, state, and local health agencies recommend staying at home, social distancing, encouraged wearing personal protective equipment, and have limited the congregation of people to 50 or less per field.

BY SIGNING THIS ACKNOWLEDGEMENT OF RISK, I ACKNOWLEDGE THE CONTAGIOUS NATURE OF COVID-19 AND THAT MY PARTICIPATION IN RECREATIONAL ACTIVITIES AT CITY OF PALM BEACH GARDENS PARKS AND RECREATION FACILITIES, INCLUDING MY MERE PRESENCE, MAY RESULT IN MY PERSONAL INJURY, ILLNESS, PERMANENT DISABILITY, AND DEATH.

With full knowledge and understanding I am voluntarily utilizing and/or visiting City of Palm Beach Gardens Recreational Facilities (“PBG Facilities”) and that due to my mere presence at the PBG Facilities I may be exposed to or infected by COVID-19 and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my minor children 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 minor children may experience or incur in connection with my presence at the PBG Facilities (“Claims”).

On my behalf, and on behalf of my minor children, I hereby release, covenant not to sue, discharge, and hold harmless the City, its officers, 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 City, its officers, employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after being present at or on any and all PBG Facilities.

 

BY:_________________________________________ Dated_____________________

 

PRINTED NAME:__________________________________________________

 

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