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Lady Dragon Lacrosse: Assumption of Risk and Liability Waiver Relating to Coronavirus / COVID-19
CONFIRMATION OF THIS WAIVER IS REQUIRED AND MUST BE COMPLETED ONLINE OR PRESENTED UPON ARRIVAL TO THE LADY DRAGON LACROSSE ACTIVITY.
As outlined in Governor Abbott's executive order, individuals may engage in outdoor sport, provided that the sport does not include contact with other participants, and no more than 10 participants play the sport at any time.
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.
Please note, public health guidance cannot anticipate every unique situation. Individuals should stay informed and take actions based on common sense and wise judgment that will protect health and support economic revitalization.
Player Email Address (Parent/Guardian if not available):
HEALTH PROTOCOLS FOR OUTDOOR SPORTS
Self-Screen before playing in an outdoor sport for any of the following, new or worsening signs or symptoms of COVID-19. If your child has any of these symptoms in the past 24 hours do NOT send them to the field as they will not be allowed to participate.
Has this player had any of the following symptoms within the last 24 hours?
Player has had no symptoms in the past 24 hours
Shortness of breath or difficulty breathing
Repeated shaking with chills
Loss of taste or smell
Feeling feverish or measured temperature greater than or equal to 100.0 degrees Fahrenheit
Has had known close contact with a person who is lab confirmed to have COVID-19
If the player has had any of the above symptoms, the player is not eligible to return to play at this time. Please notify your coach that the player cannot attend.
This player is not exhibiting any of these symptoms at this time.
Assumption of the Risk and Waiver of Liability Relating to Coronavirus / COVID-19
By signing this Assumption of Risk and Waiver of Liability, I acknowledge that I have read and recognize the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and/or I may be exposed to or infected by COVID-19 by attending an activity organized by Lady Dragon Lacrosse (“LDL”) and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 at the activity may result from the actions, omissions, or negligence of myself and/or others, including, but not limited to, LDL employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, or death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the activity or participation in the LDL program (“Claims”). I have read and understand the information that is included in the Governor’s Open Texas Report regarding the guidelines of social distancing and the additional protocols that has been provided by LDL. LDL protocols are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider you may have regarding a medical condition and never disregard professional medical advice or delay in seeking it because of something provided or communicated to you by LDL. The participant(s), parent(s), and/or legal guardian(s) assume(s) any and all risks resulting from failure to follow LDL protocols, including but not limited to any injury related to a participant’s wearing of any face covering during exercise which is not recommended by LDL.
On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless LDL, its Board of Directors, employees, coaches, agents, volunteers 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 LDL, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any LDL program. I further understand that a confirmation of acceptance of this waiver must be provided to LDL upon arrival to the training facility before the player will be allowed to participate.
I am the legal parent or guardian of the above-named player and I agree to this waiver.
Parent or Legal Guardian Name:
Waiver must be completed for each day of the clinic. Please select session:
August 11, 2020
August 12, 2020
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Lady Dragon Lacrosse is a State of Texas registered 501c3 Non-Profit Organization