I certify that I am the parent or guardian having legal control or custody of the above-named child. I hereby grant my child permission to participate in the Anneliese Schools Summer Camps (hereinafter, “The Activity”).
I understand and certify that my child’s participation in The Activity is completely voluntary. I have familiarized myself with The Activity and the potential risk(s) involved. I acknowledge that although Anneliese Schools takes safety measures to minimize the risk of illness and injury to participants, Anneliese Schools cannot ensure or guarantee that the participants, equipment, premises, and/or activities will be free of hazards, accidents, injuries, or illness. I understand that although Anneliese Schools is taking strict safety and hygiene precautions to minimize the possibility of exposure to COVID-19, Anneliese Schools cannot make any promises or guarantees in this regard. I expressly and voluntarily assume all risks arising from my child’s participation in The Activity, including the risk that my child may be exposed to and/or contract COVID-19 as a result of his/her participation in The Activity.
I agree to continuously monitor my child, as well as my child’s household members and any other contacts, on a continuous basis for any symptoms of illness. I agree that I will notify Anneliese Schools immediately if my child, or anyone in my child’s household, experiences symptoms of illness. I agree that I will not bring my child to Anneliese Schools if my child or anyone in his/her household develops symptoms of illness. I agree that if Anneliese Schools observes symptoms of illness in my child and contacts me to come to pick up my child, that I will pick my child up within one hour of being contacted by Anneliese Schools.
Symptoms of the illness include, but are not limited to:
-sore throat -headache -muscle pain -loss of smell
-scratchy throat -fever -nausea -loss of taste
-fatigue/exhaustion -shortness of breath -diarrhea -vomiting
-body aches -coughing -congestion -loss of equilibrium / imbalance
-chills -tightness in chest -runny nose -stuffy nose
I agree that I will notify Anneliese Schools immediately if I learn that my child, or anyone in my child’s household or physical contacts, has been exposed to or contracted COVID-19. I agree that my child and all members of my child’s household will adhere to required social-health guidelines to the greatest extent possible for the duration of my child’s participation in The Activity. I authorize Anneliese Schools to take my child’s temperature each day upon arrival at the School and at other times as necessary throughout the day while he/she is attending the Activity to confirm that my child is fever-free.
I hereby give permission for teachers, administrators, and other employees and representatives of Anneliese Schools to administer first aid and to arrange for the transportation and treatment of my child by paramedics, ambulance team, and/or licensed physicians. It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care required, but it is given in advance to provide authority and power to give specific consent to any and all medical care, which Anneliese Schools and/or medical providers in the exercise of their best judgment may deem advisable. This authorization is given pursuant to the provisions of California Family Code § 6910. I agree to pay all expenses for such treatment. I hereby release Anneliese Schools from any and all liability for medical bills or medical-related expenses, including medical transport. I understand that Anneliese Schools does not provide medical/liability insurance.
I hereby release and waive all claims, which I and/or my minor child, as well as I and/or my minor child’s representatives, agents, and assigns may have against Anneliese Schools, as well as its teachers, coaches, drivers, administrators, owners, officers, directors, agents, representatives, insurers, attorneys, employees, volunteers, successors, and assigns, for any and all injury, accident, illness, death, damage of any kind, and/or property loss occurring during or by reason of The Activity. I, on behalf of myself and my minor child, release Anneliese Schools, as well as its teachers, administrators, owners, officers, directors, agents, representatives, insurers, attorneys, employees, volunteers, successors, and assigns from any and all kinds of claims, demands, actions, economic damages, non-economic damages, consequential damages, punitive damages, costs, expense, actions, causes of action, and liability of any kind or nature whatsoever that may arise, whether now or in the future, occurring during or by reason of The Activity. I agree to hold harmless, defend, and indemnify Anneliese Schools, as well as its teachers, administrators, owners, officers, directors, agents, representatives, insurers, attorneys, employees, volunteers, successors, and assigns, against any and all claims, lawsuits, and/or judgments related to any of the matters as to which they, or any of them, are hereinabove released. This release and indemnity agreement shall apply to all known, unknown, and/or unanticipated injuries and damages resulting from or during my and/or my minor child’s participation in The Activity.
I, on behalf of myself, my minor child, and our representatives, agents, and assigns, expressly waive the provisions of Section 1542 of the California Civil Code, which states as follows: “A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.” I, being aware of said Code provision, hereby waive it; I also waive any statutes or common law principles of similar effect in other jurisdictions. I further understand and agree that if any provision of this waiver and release is held illegal or unenforceable in a judicial proceeding, such provision shall be severed and shall be inoperative, and the remainder of this waiver and release shall remain operative and binding.
By signing and entering my initials below, I certify that I have read the above waiver and release, I understand its provisions, and I voluntarily agree to them. I certify that I am the parent or guardian of the minor child named above and have the legal authority to execute this waiver and release.