TO THE EXTENT PERMITTED BY LAW, I HOLD THE PARISH/SCHOOL AND DIOCESE OF SAN JOSE HARMLESS FROM ANY CLAIM OF INJURY, SICKNESS, ILLNESS OR DAMAGE THAT I/MY CHILD MAY SUFFER OR SUSTAIN DURING THE PROGRAM LISTED ABOVE, WITH EXCEPTION TO INJURY OF DAMAGES ARISING OUT OF THE SOLE NEGLIGENCE OF THEPARISH/SCHOOLOR DIOCESE OF SAN JOSE. I ATTEST THAT I AM/MY CHILD IS PHYSICALLY FIT TO PARTICIPATE IN THIS PROGRAM.
IN THE EVENT THAT I/MY CHILD BECOME(S) ILL OR INJURED, I DO HEREBY CONSENT TO WHATEVER MEDICAL TREATMENT(S), INCLUDING BUT NOT LIMITED TO X-RAY, EXAMINATION, OR HOSPITAL CARE,CONSIDERED NECESSARYIN THE BEST JUDGEMENT OF THE ATTENDING PHYSICIAN AND PERFORMED BY OR UNDER THE SUPERVISION OF A MEMBER OF THEMEDICAL STAFF OF THE HOSPITALAND/OR OTHER MEDICALFACILITY PROVIDING THE TREATMENT. I AM NOT AWARE OF ANY MEDICAL CONDITION WHICH WOULD RENDER IT INAPPROPRIATE FOR ME/MYCHILD TO PARTICIPATE IN ANY ACTIVITY ASSOCIATED WITH THE PROGRAM.
Further, the novel coronavirus, COVID-19, is a highly infectious, life-threatening disease declared by the World Health Organization to be a global pandemic. COVID-19’s highly contagious nature means that contact with others, or with surfaces that have been exposed to the virus, can lead to infection. Additionally, individuals who may have been infected with COVID-19 may be asymptomatic for a period of time or may never become symptomatic at all. Because of its highly contagious and sometimes “hidden” nature, it is currently very difficult to control the spread of COVID-19 or to determine whether, where, or how a specific individual may have been exposed to the disease.
Therefore, I acknowledge the contagious nature ofCOVID-19 and the fact that it can be difficult to identify in another person, and the inherent risks of exposure at this programto those who may be infected with COVID-19. I voluntarily assume the risk that I/my child may be exposed to or infected by COVID-19, or other infectious virus or disease,by participating in this event and that such exposure or infection may result in personal injury, illness, permanent disability, and/or even death.I/my childfurther acknowledge that the CDC and many other public health authorities continue to recommend social distancing and other protective measures to prevent the spread of COVID-19. I/my child acknowledge that I/my child must comply with all set procedures to reduce the spread of COVID-19 while Participating.I/my childunderstand that the PARISH/SCHOOL AND DIOCESE OF SAN JOSEhaveput in place new rules and precautions in order to mitigate the spread of COVID-19, which rules and precautions may be updated at any time. While acknowledging that these rules andprecautions may or may not be effective in mitigating the spread of COVID-19, I/my childagree to comply with such rules and precautions which may include, but are not limited to, wearing a face covering, hand washing, hand sanitizing, and social distancing. I/my child understand and acknowledge that given the unknown nature of COVID-19, it is not possible to fully list each and every individual risk of contracting COVID-19. I/my child understand that the risk of becoming exposed to or infected by COVID-19 during my Participantservice may result from the actions, omissions, or negligence of myself and others, including, but not limited to, priests, parish/school/diocesan staff, Participants, and other parish/school/diocesan workers, including their families. I/my childrecognize that the PARISH/SCHOOL AND DIOCESE OF SAN JOSE cannot limit all potential sources of COVID-19 infection and cannot guarantee that I/my child will not become infected with COVID-19.I/my childvoluntarily serve(s)the PARISH/SCHOOL AND DIOCESE OF SAN JOSE and I acknowledge that, by serving,I am/my child isincreasing the risk ofexposure to COVID-19.I/my childvoluntarily assume full responsibility for any and all risks of illness or injury associated with my/my child’s exposure to COVID-19,or other infectious virus or disease,as well as from use of any protective equipment, including face coverings, that the PARISH/SCHOOL AND DIOCESE OF SAN JOSE may voluntarily provide to me/my child.
Before I bring my child to the program I hereby attest that:
1. I am/my child is not experiencing any symptoms of illness such as cough, shortness of breath or difficulty of breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
2. I have/my child hasnot traveled internationally within the last 14 days.
3. I have/my child hasnot traveled to a highly impacted area within the United States of America in the last 14 days.
4. I do not believe I have/my child hasbeen exposed to someone with asuspected and/or confirmed case of COVID-19.
5. I have/my child hasnot been diagnosed with COVID-19 and not yet cleared as non-contagious by state or local public health authorities.
6. I/my child/is following all CDC recommended guidelines and limiting my/my child’s exposure to COVID-19.
I/my child understand that this release discharges the PARISH/SCHOOL AND DIOCESE OF SAN JOSE from any liability or claim that I/my child, my heirs, or any personal representatives may have against the parish with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any Participantservices provided to the PARISH/SCHOOL AND DIOCESE OF SAN JOSE. This liability waiver and release extends to the PARISH/SCHOOL AND DIOCESE OF SAN JOSE together with its clergy, staff, and other Participants.