Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
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.
DNA Level C Boxing Club has put in place preventative measures to reduce the spread of COVID-19; however, the Club cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Club could increase your risk and your child(ren)’s risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Club 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 at the Club may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Club 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, and 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 Club or participation in Club programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Club, its employees, agents, 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 the Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Club program.
HEALTH AFFIDAVIT
ALL BOXERS: I certify that I have had no injuries to my hands, neither fractures nor broken bones, which exist now or occurred within three months proceeding the date of the DNA Level C Boxing Club Membership form, and know of no injuries, to the hand, concussion, fainting spells or headaches. I will notify my coach, trainer, or other Local Boxing Officials immediately should any of these injuries or conditions be experienced in the future. I further agree that if I do experience any of the aforementioned conditions or injuries, I will immediately cease training, sparring and competing as an amateur boxer until such conditions or injuries no longer exists.
FEMALE BOXERS: I certify that I am not pregnant, or have any painful pelvic discomfort such as endometriosis or other causes, abnormal vaginal bleeding of undetermined causes (Etiology), recent loss of menstrual period, recently developed breast mass, recent breast dysfunction previously not present or surgical breast implants. I further agree that I will immediately notify NNA Level C Boxing Club, my coach, trainer or other Local Boxing Officials if any of the above described conditions should develop and/or apply.
Waiver and Release of Liability, Assumption of Risk
& Parental Consent & Indemnity Agreement
IN CONSIDERATION OF ME BEING ALLOWED TO PARTICIPATE IN ANY WAY WITH DNA LEVEL C BOXING CLUB ACTIVITIES, I AGREE
1. I understand the nature of DNA LEVEL C BOXING CLUB activities and my experience and capabilities and believe I am qualified to participate in such activity. I further acknowledge that I am aware the activity will be conducted in facilities open to others during the activity. I further agree and warrant that if I believe conditions to be unsafe, I will immediately discontinue further participation in the activity.
2. I FULLY UNDERSTAND that: (a) DNA LEVEL C BOXING CLUB activities involve risks and dangers of SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH (B) these risks and dangers may be caused by me or the actions or inactions of others participation in the activity, the condition in which the activity takes place. (c) there may be other risks and social and economic losses either known to me or not readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES incurred as a result of my participation in these activities.
3. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS the DNA LEVEL C BOXING CLUB, their respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers and if applicable, owners and lessors of premises on which the activities take place ( each considered one of the “Releases” herein) from all liability , claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the “Releases” or otherwise, including negligent rescue operations and further agree that if, despite this release, I, or anyone on my behalf makes a claim against any of the Releasees named above, I WILL IDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGES OR COST ANY MAY INCUR AS THE RESULT OF SCUH CLAIM.
CONSENT AND RELEASE OF PARENT OR GUARDIAN
I am the parent or guardian of the child applying for membership. My child is fit for participation in DNA LEVEL C BOXING CLUB, activities and I consent to my child’s participation. I HAVE READ THE MEMBERSHIP APPLICATION AND WAIVER AND RELEASE. In consideration of allowing my child to participate, I consent to it and agree that IT’S TERMS SHALL LIKEWISE BIND ME, MY CHILD, my heirs, legal representatative, and assignee. I HEREBY RELEASE AND SHALL DEFEN, INDEMNIFY AND HOLD HARMLESS THE RELEASEES FROM EVERY CLAIM AND ANY LIABILITY that I or my child may allege against the Release (including reasonable attorney fees or costs) as a direct or indirect result of injury to me or my child because of my child’s participation in the event, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES or other. I PROMISE NOT TO SUE RELEASEES on my behalf of my child regarding any claim arising from my child’s participation in DNA LEVEL C BOXING CLUB activities.
PARENTS ARE NOT ALLOWED IN THE GYM WHILE THEIR CHILD IS TRAINING
RELEASE FORM
By signing this release form, I authorize DNA Level C Boxing Club, to use the following personal information:
(1)My picture– including photographic, motion picture, and electronic (video) images.
(2)My voice –including sound and video recordings.
I hereby grant to DNA Level C Boxing Club, its subsidiaries, licensees, successors and assigns, the right to use, publish, and reproduce, for all purposes, my name, pictures of me in film or electronic (video) form, sound and video recordings of my voice, and printed and electronic copy of the information described in sections (1) and (2) above. This permission shall continue forever unless I revoke the permission in writing.
I hereby waive the right to receive any payment for signing this release and waive the right to receive any payment for DNA Level C Boxing Club, use of any of the material described above for any of the purposes authorized by this release. I also waive any right to inspect or approve finished photographs, audio, video, multimedia, or advertising recordings and copy or printed matter or computer generated scanned image and other electronic media that may be used in conjunction there with or to approve the eventual use that it might be applied . I acknowledge that I have read the foregoing and I fully understand the contents.
