Our Village Events Consent and Waiver Form
Thank you for participating in an in-person event with Our Village, a 501c3 non-profit agency based in Torrance, CA.
Here are some considerations to review and approve before joining us:
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Our Village has put in place preventative measures to reduce the spread of COVID-19; however, the we cannot guarantee that by participating in our IN-PERSON events, that you will not become infected with COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my family and I may be exposed to or infected by COVID-19 by attending In Person settings with Our Village. And that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Our Village may result from the actions, omissions, or negligence of myself and others, including, but not limited to, outside community vendors, staff, customers and participants and Our Village employees, volunteers, board members, program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my family may experience or incur in connection with Our Village In-Person events. I hereby release, covenant not to sue, discharge, and hold harmless Our Village, its employees, agents, board members, interns, volunteers, families/clients, funders/grantors and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Our Village, its employees, agents, and representatives.
Our Village follows and stays current on the LA County Health Officer Orders. This event is not considered a mega event, per the LA County guidelines.
Proof of vaccination o