Waiver of Liability
By signing this Consent and Waiver, you, on your own behalf, agree to waive, release, indemnify, hold harmless, and covenant not to sue Lake Zurich Community Unit School District 95, and its Board of Education, individual Board members, employees, agents, representatives, volunteers, insurers, assigns, and successors, and each and every one of them, from and against any and all claims, demands, suits, liabilities, and causes of actions, whether known or unknown, past, present, or future, including, but not limited to, any and all costs, expenses, and attorneys’ fees, by reason of injury, illness, allergic reaction, property damage, loss, or death, arising out of, in connection with, or in any manner related to the Test, including administration of the Test, any inaccurate Test results, any resulting medical advice, course of treatment, or diagnosis, or the District’s sharing of your test results.
CONSENT AND ACKNOWLEDGMENT
By signing below, I hereby consent to all provisions of this Consent and Waiver, including: (1) the District’s administration of a RT-PCR test to myself, (2) the use and disclosure of my information as described above, and (3) the waiver of liability as set forth above.
This Consent and Waiver is effective upon signature and will be valid through June 30, 2022, unless revoked in writing.