WOS COVID-19 & Release of Liability Waiver

COVID-19 & Release of Liability Waiver

**Signature Required Prior to Event Participation**
Player Name*

First NameLast Name
Parent/Guardian Name (if player is a minor)

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
I agree to the following:*

I affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms of COVID-19, including, but not limited to, cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell WITHIN THE LAST 14 DAYS.I affirm that I, as well as all household members, do not have any pending COVID-19 test results.I affirm that I, as well as all household members, have not been diagnosed with COVID-19 WITHIN THE PAST 30 DAYS.I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 30 DAYS.I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 infections WITHIN THE PAST 14 DAYS.I understand that Lady Raider Basketball Club can be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each player.
By signing below, I agree to each statement above and release Lady Raider Basketball Club (LRBC) and any and all participants in this event who can be proved to be truthful on this waiver from any and all liability for the unintentional exposure or harm due to COVID-19.
Informed Consent and Acknowledgement

I hereby give my approval for my/my child’s participation in any event hosted by or affiated with Lady Raider Basketball Club. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Lady Raider Basketball Club and all its respective officers, agents, and representatives, including, but not limited to GNBL or Just A Game Fieldhouse, from any and all liability for injuries to said player arising out of travel to, participating in, or returning from any tournament.

There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or even death.

In case of injury to said player, I hereby waive all claims against Lady Raider Basketball Club including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct this event which includes, but is not limited to, GNBL and it's owners, partners, and members.

Furthermore, all images and videos of Lady Raider Basketball Club events are the property of Lady Raider Basketball Club and can be used for any promotional consideration.

I hereby state that I have carefully read the above waiver. Acceptance and understanding of this agreement are hereby acknowledged.

I have read and agree to the Informed Consent and Acknowledgement.
By typing your name below, you agree that you have read, answered honestly, and agree to all above information. Failure to sign this waiver will result in disqualification from the tournament without a refund*
Typed name is considered an electronic signature for the sake of this waiver
Date*

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