INITIALS By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and/or my child may be exposed to or infected by COVID- 19 by participation in events held by or associated with eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church; 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 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church employees, volunteers, and program participants and their families.
INITIALS I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself and/or to my child (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation in events held by or associated with eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church (“Claims”). On my behalf and/or that of my child, I hereby release, covenant not to sue, discharge, and hold harmless eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church, its employees, volunteers, contract workers, agents, and representatives (“Releasees”), 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 eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church, its employees, volunteers, contract workers, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation held by or associated with eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church.
INITIALS I represent that I have adequate insurance to cover any injury or illness I and/or my child may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or illness myself. I further represent that I and/or my child have no medical or physical condition which could interfere with the safe participation in this activity, and I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.
INITIALS Any legal proceeding that is brought to interpret or enforce the rights and obligations covered by this agreement will be brought in the State of Maryland, Prince George’s County, and governed by the laws of the State of Maryland. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
INITIALS I agree that my child will not attend in-person classes with eXtend Homeschool Tutorial at Mt. Oak United Methodist or Judah Temple AME Zion Church if I or a caregiver identify new developments of any of the following symptoms: temperature of 100.4 degrees Fahrenheit or higher, sore throat cough (for students with chronic cough due to allergies or asthma, a change in their cough from baseline), difficulty breathing ( for a student with asthma, a change from their baseline breathing), diarrhea or vomiting, new onset of severe headache, especially with a fever.
INITIALS If I have signed a separate general waiver of liability connected to my participation in events held by or associated with eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple, I agree that the terms of that waiver are wholly incorporated into this document and that the terms of this document are incorporated into the separate general waiver.
INITIALS I agree that I comply with all health and safety rules and guidelines imposed by eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church or by any state, local, or federal governmental entity, and will practice safe social distancing, when possible, and clean hygiene during my participation at events held by or associated with eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church or while on all eXtend Homeschool, Mt. Oak United Methodist Church, and Judah Temple AME Zion Church campus.