Checkout

CULTURE SHOCK BASKETBALL CLUB 

Waiver of Liability 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. Culture Shock Basketball Club has put in place preventative measures to reduce the spread of COVID-19; however, cannot guarantee that you will not become infected with COVID-19. Further, attending any program or activity conducted by Culture Shock Basketball Club could increase your risk of contracting COVID-19. 

I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 while attending the Culture Shock Basketball Club activities 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 during Culture Shock Basketball Club activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Culture Shock Basketball 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 myself (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 attendance at the Culture Shock Basketball Club activities or (“Claims”). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Culture Shock Basketball Club, 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 Culture Shock Basketball Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after attending any Culture Shock Basketball Club activities. 

PARENTAL CONSENT: I am the minor’s parent or guardian named above and I understand the nature of the Waiver of Liability above and verify and consent to the minor attending Culture Shock Basketball Club activities. On the minor’s behalf, I hereby release, covenant not to sue, discharge, and hold harmless Culture Shock Basketball Club activities, 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. On behalf of the minor, I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Culture Shock Basketball Club activities, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after attending in any Culture Shock Basketball Club activities.