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.
- Prairie Lane Pool has put in place preventative measures to reduce the spread of COVID-19; however, the PLPA (Prairie Lane Pool Association) cannot guarantee that you or your child(ren) will not become infected with 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 pool 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 pool may result from the actions, omissions, or negligence of myself and others, including, but not limited to, pool employees, volunteers, members, their families and guests.
- 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 or my child(ren)’s attendance at the pool or participation in pool activities. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Prairie Lane Pool, its Board of Directors, 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 pool, its employees, Board of Directors, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Prairie Lane Pool related activity or program.
- Print Name _______________________________________________________ Date: ________________
- Signature _________________________________________________________ Date: ________________
- In the state of Nebraska, all persons under the age of 19 are considered minors, and must have a parent or legal guardian sign this waiver of liability in addition to their own signature.
- Print Parent or Legal Guardian Name ____________________________________ Date: ________________
- Signature of Parent or Legal Guardian ___________________________________ Date: ________________