CAUTION: By signing this Agreement, you are voluntarily giving up certain valuable legal rights to sue Winston Creek, LLC, DBA Ayni Acres. Please read and fully understand each provision of this Agreement, and sign and date the bottom of this form.
In consideration of Winston Creek, LLC, DBA Ayni Acres allowing me to participate in a class or event, I agree as follows:
1. PARTIES INCLUDED. I understand that this Agreement includes and is intended to benefit Winston Creek, LLC, DBA Ayni Acres, its member, manager, agents, employees, volunteers, and all other persons or entities acting in any capacity on its behalf (hereinafter referred to collectively as “Ayni Acres”). The Assumption of Risk, Waiver and Release, Covenant Not to Sue, and Indemnity statements below are made by me for and on behalf of myself, my spouse, my children, my parents, and any of our or their heirs, assigns, personal representatives, and estates.
2. CODE OF CONDUCT. I have read and understand the attached Code of Conduct. I understand that my participation in a class or event at Ayni Acres is conditioned on my compliance with the Code of Conduct, and that any violation of the Code of Conduct may result in me being asked to leave the premises. I accept responsibility for all costs or damages arising from my failure to abide by the Code of Conduct.
3. ASSUMPTION OF RISK. I acknowledge that the class or event in which I am participating entails certain known and unknown risks that cannot be eliminated. Activities at Ayni Acres expose participants to the risk of cuts, slips, falls, broken bones, infections, burns and bruises, water-related injuries or drowning. Additional risks which could result include damage or loss to property owned by myself, Ayni Acres, or other third parties, and other unknown or unanticipated risks and injuries. I understand that I may suffer physical harm as a result of the acts or omissions of me, Ayni Acres, or other participants. I expressly agree and promise to accept and assume all of the risks associated with activities at Ayni Acres.
4. THE NOVEL CORONAVIRUS/COVID-19. The World Health Organization and several government entities have declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to the capacity of COVID-19 to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Ayni Acres uses reasonable efforts to observe and comply with as they evolve.
a. In consideration of my participation in the foregoing, I acknowledge and agree to the following:
i. I am aware of the existence of the risk of my physical in-person appearance to the venue, class, or event and that my participation may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to ongoing health issues, paralysis or death.
ii. I have not experienced symptoms of fever, fatigue, difficulty breathing, or dry cough or exhibited any other symptom relating to COVID-19 or any communicable disease within the last 14 days.
iii. I have not been, nor have any members of my household, diagnosed to be infected with COVID-19 within the last 30 days.
b. Following the acknowledgements of preceding section, I hereby declare the following:
i. I am fully and personally responsible for my own safety and actions during my participation in any class or event hosted at Ayni Acres and I recognize that I may be at risk of contracting COVID-19 among other harms and risks.
ii. With full knowledge of the risks involved, I hereby release, waive, and discharge Ayni Acres from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, illness, or death that may be sustained by me related to COVID-19 while participating in any activity, class, or event while in, on or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19.
c. I have read and hereby acknowledge and agree to the terms of Section 5 of this waiver.
5. WAIVER AND RELEASE. I hereby voluntarily, fully, and forever waive, release, and discharge Ayni Acres from any and all losses, liabilities, claims, expenses, demands, actions, damages, injuries, causes of action, and rights of action which are related to, arise out of, or are in any way connected with my participation in activities at, with, or hosted, sponsored or administered by Ayni Acres. The foregoing waiver of liability includes, without limitation, damages or injury resulting from the negligence of Ayni Acres (whether such claims are based upon breach of contract, breach of warranty, or any other legal theory) or from any other cause or causes.
6. COVENANT NOT TO SUE. I agree not to institute any suit or action at law or otherwise against Ayni Acres, or to initiate or assist in the prosecution of any claim for damages or cause of action which I may have by reason of injury to myself or property related to, arising out of, or in any way connected with my participation in activities at, with, or hosted, sponsored or administered by Ayni Acres.
7. INDEMNITY. I agree to indemnify, defend, and hold Ayni Acres harmless from any and all losses, liabilities, claims, expenses, actions, or proceedings of any kind which may be initiated by myself or any other person or entity related to, arising out of, or in any way connected with my participation in activities at, with, or hosted, sponsored or administered by Ayni Acres, including any harms suffered related to COVID-19. This includes reimbursement for all legal costs and attorneys’ fees incurred by Ayni Acres, myself, and other indemnified parties, or any of them, for the defense of any such actions.
8. MEDICAL EXPENSES. I will pay my emergency medical expenses and all subsequent medical expenses in the event of any incident, accident, illness or incapacity, regardless of whether I have otherwise authorized such expenses.
9. ATTORNEYS’ FEES. Should Ayni Acres, or anyone acting on its behalf, be required to incur attorneys’ fees and costs to enforce this Agreement, or defend a claim arising out of activities at, with, or hosted, sponsored or administered by Ayni Acres, I agree to indemnify and reimburse them for such fees and costs.
10. VENUE. In the event I file a lawsuit against Ayni Acres, I agree that this Agreement shall be construed and interpreted in accordance with the laws of the state of Washington. I further agree that the exclusive venue for any dispute arising out of or relating to this Agreement shall be the Lewis County Superior Court and hereby consent to personal jurisdiction in such court.
11. SEVERABILITY. I agree that if any provision of this Agreement is held to be invalid or unenforceable, all other provisions shall nevertheless continue in full force and effect.
I WAIVE ANY RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO MY PARTICIPATION IN ACTIVITIES AT, WITH, OR HOSTED, SPONSORED OR ADMINISTERED BY Ayni Acres.
I HAVE READ THIS AGREEMENT, INCLUDING THE ATTACHED CODE OF CONDUCT, FULLY UNDERSTAND ITS TERMS AND HAVE SIGNED IT FREELY WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANYONE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY TO THE GREATEST EXTENT OF THE LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. I HEREBY AGREE TO ALL OF THE TERMS OF THIS AGREEMENT.