I hereby acknowledge the health risks and dangers associated with Coronavirus, COVID-19. COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a means to help prevent the spread of the virus. COVID-19 can, among other things, lead to severe illness, personal injury, permanent disability, and death. Participating in Westfield Area YMCA events, programs, services or accessing the Westfield Area YMCA facilities could increase the risk of contracting COVID-19. The Westfield Area YMCA in no way represents or warrants that COVID-19 infection will not occur through participation in Westfield Area YMCA programs/services or accessing Westfield Area YMCA facilities.
I have read and fully understand and acknowledge the contents of the Release. In exchange for participating in Westfield Area YMCA events, programs, services and/or at any of its facilities (collectively, “Participation”), I, for myself and on behalf of my family, agree that I am voluntarily waiving, releasing, indemnifying and discharging the Westfield Area YMCA and its officers, directors, employees and volunteers for, from and against any and all liability, damages, and each and every action including, but not limited to, exposure or transmission of the COVID-19 virus (collectively, “Claims”) by Participation associated with or at the Westfield Area YMCA.
I represent that I have full authority to sign on behalf of my family and that my signature binds each other person having authority to make decisions on behalf of my family.
My signature below is confirmation that I have read and fully understand and acknowledge the contents of the Release and agree that I am voluntarily waiving, releasing, indemnifying and discharging the Westfield Area YMCA and its officers, directors, employees and volunteers for, from and against the Claims.
Please note: A separate parent-signed waiver must be signed for every member of your household under the age of 18. An individual waiver must be signed by every member of your household age 18 and up.