WOS COVID-19 & Release of Liability Waiver

Player Name *

First Name Last Name

Parent/Guardian Name (if player is a minor)

First Name Last Name

Phone Number *

Area Code Phone Number

Email *

example@example.com

I agree to the following: *

I affirm that I do not have any of the following 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. I affirm that I do not have any pending COVID-19 test results pending due to COVID-19 symptoms, or direct exposure within the past 14 days. I affirm that I, have not been diagnosed with COVID-19 WITHIN THE PAST 14 DAYS. I affirm that I, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 14 DAYS. I understand that neither Do Right Educational Sports Program and it's coaching staff, volunteers or other families associated to the team, 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. I agree that if I have been found positive for COVID-19 I will not return to practice and will sit out of all team activities for 10 days from the date of my positive test. I will also make sure I am symptom free prior to my return. I agree to make personal notification to the team appointed contacts if I should have a positive test within 12 hours and will not return back to any team functions until I am cleared to do so by the team staff. Please contact Joyce at 602-446-1526 and email the team at dorighttrack@hotmail.com ; Coach Itoro, the team medical provider at 801-209-7053.

By signing below, I agree to each statement above and release Do Right Educational Sports Program, USATF 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 the events of Do Right Educational Sports Program and all USATF local and national events. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Do Right Educational Sports Progam along with USATF and all its respective officers, agents, and representatives, including, but not limited to Do Right Educational Sports Proram from any and all liability for injuries to said player arising out of travel to, participating in, or returning to all events.

There is a risk of being injured that is inherent in all sports activities, including Track & Field. Some of these injuries include, but are not limited to, the risk of fractures, falls, and minor bruises from accidental falls.

In case of injury to said player, I hereby waive all claims against Do Right Educational Sports Program 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, Do Right Educational Sports Program, USATF, pracitice policy holders, partners, and other team members.

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 *

Date