ASSUMPTION OF RISK LIABILITY WAIVER & RELEASE

Please read this carefully and be aware in registering yourself, your child, or ward for participation in this program, you will be waiving and releasing all claims for injuries you or your minor child/ward might sustain arising out of the RootsForKids program (hereinafter referred to as “program”).

On behalf of my minor child, I hereby give permission for my child to participate in the program. I hereby warrant that both myself and my child are familiar with the risks associated with participation in this program.

 As the parent/guardian of a participant in the program, I recognize and agree to assume the full risk of any injuries, including death, damages, or loss which I or my minor child/ward may sustain as a result of participating in any or all activities connected with or associated with such program.

I do hereby fully release and discharge the facility, program and its officers, directors, employees, contracted employees, independent contractors, instructors, agents, organizers, and volunteers, from injuries, including death, damage, or loss which I or my minor child/ward may have or which may accrue to me or my minor child/ward on account of my participation in the program.

I hereby release, absolve, indemnify, and hold blameless its officers, directors, employees, contracted employees, independent contractors, instructors, agents, organizers, and volunteers from any and all claims associated with the activities of the program.

I understand that in case of a medical emergency, medical aid may be sought while I am being contacted. In the event of any illness or injury, I hereby consent to whatever examination, diagnosis, or treatment and the hospital care from a licensed dentist, physician, and/or surgeon as deemed necessary for my child’s safety and welfare. I understand that the resulting expenses will be my responsibility.

I acknowledge that I have read this consent form, and knowingly, on behalf of my child, assume all of the risks associated with participating in any way in the RootsForKids program and agree to abide by the aforementioned policies.

Please accept below that you have read the above waiver.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

Student Name : {studentsName3}

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 prohibited the congregation of groups of people.

RootsForKids and Peninsula Sinai Congregation (“PSC”) have put in place protective measures to reduce the spread of COVID-19; however, RFK (and PSC) cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending in person onsite camps/ activities could increase your risk and your child(ren)’s risk of contracting COVID-19.

By signing this agreement, I acknowledge that I have reviewed and read the RFK Health and Safety plan (as part of the Parent's handbook) as well as the PSC’s COVID-19 Health and Safety Plan and acknowledge the contagious nature of COVID-19. By attending in-person RFK activities at PSC, I voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 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 while attending in-person RFK activities at PSCmay result from the actions, omissions, or negligence of myself and others, including, but not limited to, RFK and PSC employees, agents, representatives, classified staff, coaches, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility on behalf of my child(ren)/ward and myself for any injury (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, action, liability, or expense, including court costs and reasonable attorney’s fees, of any kind, (“Claims”) that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance in activities or participation in RFK programming at PSC. On my behalf, and on behalf of my children, I hereby release, waive, covenant not to sue, discharge, and hold harmless RootsForKids and PSC, and their respective employees, agents, representatives, and volunteers from the Claims understand and agree that this release includes any Claims based on the actions, omissions, or negligence of RootsForkids and PSC, and their respective employees, agents, representatives, and volunteers whether a COVID-19 infection occurs before, during, or after participation in any RFK activities at PSC.

 I HAVE READ THIS AGREEMENT CAREFULLY, UNDERSTAND ITS TERMS AND CONDITIONS, AGREE TO ABIDE BY THE POLICIES CONTAINED IN IT AND IN RFK’s COVID-19 HEALTH AND SAFETY PLAN PSC’S COVID-19 HEALTH AND SAFETY PLAN. I ACKNOWLEDGE THAT I WILL BE GIVING UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING THIS AGREEMENT (INCLUDING THE RIGHTS OF YOUR REPRESENTATIVES) AND INTEND FOR MY SIGNATURE TO SERVE AS CONFIRMATION OF MY COMPLETE AND UNCONDITIONAL ACCEPTANCE OF THE TERMS, CONDITIONS AND PROVISIONS OF THIS AGREEMENT.

Please accept below that I agree to the Covid-19 Waiver and give my consent

You should receive a copy of your submission via email to the email address(es) provided but we strongly recommend to PRINT a copy for your records.

Pls contact us at info@rootsforkids.org for any assistance or questions.