Bocce Family Day RSVP/Registration Form

I, the undersigned or as parent or guardian, hereby give permission for myself or the above child to participate in HFCA programs & events. I agree to release, indemnify & hold harmless the HFCA, its employees, agents, heirs & assigns from any claims arising from participation in the program. I UNDERSTAND and ACKNOWLEDGE that as a participant, myself and/or my minor child will be engaging in activities that involve risk of serious injury, including permanent disability and death, and serve social and economic losses which might result not only from the actions, inactions or negligence of myself and/or my child, but also the actions, inactions or negligence of others, the rules of play or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. All such risks being known and understood by me, I AGREE TO INDEMNIFY AND HOLD HARMLESS the HFCA, its employees, agents, heirs, and assigns from any claims arising from my participation in this program I trip. PLEASE NOTE: If, at any time during a scheduled program, the participant appears to have a contagious or communicable illness, they may not attend the program until cleared by a medical professional. If your failure to disclose the participant's special needs or health issues jeopardizes the safety of the participant, other program parti cipants or HFCA Staff, the HFCA will not be held liable. In the event of any EMERGENCY, I authorize Hemlock Farms Community Association Staff to secure emergency medical treatment by certified responders, emergency medical personnel and/or in a local, licensed hospital, for any treatment deemed necessary for the participant's immediate care. If parent I legal guardian or temporary care giver cannot be reached, standard EMS protocols will be followed, which will include transportation to a local hospital for further evaluation and·medical treatment. I agree that I will be responsible for payment of any and all medical services rendered. The HFCA will not be responsible for any fees associated with any medical care or services rendered. IUNDERSTAND that any and all damages caused by the participant shall be paid by the participant and/or their legal guardian to the owners of the damaged items. The participant AGREES to be respectful and courteous to all HFCA staff, their agents, and other program participants. Any obnoxious, lewd, abusive or inappropriate behavior may result in removal from the program or bus trip and the participant will be responsible for their own transportation home. If the participant is a MINOR child, the parent will be called and advised that they will be required to pick up their child.

I HEREBY AFFIRM THAT I AM EIGHTEEN YEARS OF AGE OR OLDER AND I AM THE PERSON NAMED AS THE PARTICIPANT OR I AM THE PARENT OR LEGAL GUARDIAN OF THE MINOR PARTICIPANT NAMED ON THIS FORM. I HAVE READ THIS DOCUMENT, AND I UNDERSTAND AND AGREE.TO.ITS CONTENTS. I HAVE READ, UNDERSTAND & AGREE TO FOLLOW AND BE BOUND BY THE ABOVE STANDARDS, CONDITIONS & CONSEQUENCES

The Facilities and Programs are for homeowners, renters and their guests ONLY.

By engaging in this activity, individuals understand the risks involved. Including the risk of injury and illness relating to the Covid-19 Pandemic and the potential for that virus, or any other communicable illness, to spread through direct and indirect contact with surfaces upon which the virus may be situated on.

INDIVIDUALS ACCEPT PERSONAL RESPONSIBILITY FOR ANY INJURIES THAT MAY OCCUR AS A RESULT OF USE OF REGENCY AT HEMLOCK FARMS COMMUNITY ASSOCIATION AMENITIES, WHETHER RELATED TO THE COVID-19 ILLNESS OR OTHERWISE.

Individuals acknowledge that they have voluntarily chose to participate in this activity and assume all risk for their health, and on behalf of themselves, their heirs, beneficiaries, dependents and personal representatives, release and hold harmless, Hemlock Farms Community Association.

PLEASE NOTE: If, at any time during a scheduled program, the participant appears to have a contagious or communicable illness, they may not attend the program until cleared by a medical professional. If your failure to disclose the participant’s special needs or health issues jeopardizes the safety of the participant, other program participants or HFCA Staff, the HFCA will not be held liable.

In the event of any EMERGENCY, I authorize Hemlock Farms Community Association staff to secure emergency medical treatment by certified responders, emergency medical personnel and/or in a local, licensed hospital, for any treatment deemed necessary for the participant’s immediate care. If parent / legal guardian or temporary caregiver cannot be reached, standard EMS protocols will be followed, which will include transportation to a local hospital for further evaluation and medical treatment. I agree that I will be responsible for payment of any and all medical services rendered, the HFCA will not be responsible for any fees associated with any medical care or services rendered.