D1SA Sports & Athletics - Addendum to Waiver of Liability
COVID-19 Statement, Waiver, Release of Liability, Indemnification
D1SA Football - Addendum to Waiver of Liability COVID-19 Statement, Waiver, Release of Liability, Indemnification COVID STATEMENT I acknowledge that COVID-19 infections have been confirmed throughout Loudoun County, the Commonwealth of Virginia and the United States. I represent and warrant that I, nor my registered athlete(s), will participate in or attend any D1SA football practice, training session, game, scrimmage, team meeting, parent meeting, pep rally, fundraiser, community outreach, or any other event organized by D1SA Football if I or my registered athlete:
(i) has experienced symptoms within the past 14 days or is currently experiencing COVID-19 symptoms; or
(ii) has a suspected or diagnosed/confirmed case of COVID-19
(iii) have any member of my household suffering with symptoms of COVID-19, or has a current COVID-19 diagnosis
(iv) has a fever exceeding 100.4 immediately prior to a D1SA Football organized event.
I agree that I and my registered athlete(s) or anyone else who accompanies me or my registered athlete(s) to any D1SA Football event will comply with and submit to any and all policies, protocols, procedures or other requirements that D1SA Football implements to protect the health and well-being of those who participate in or otherwise attend D1SA events, including, without limitation, no-touch temperature checking and social distancing in accordance with the guidelines recommended by the CDC or other governing public health agencies.
I fully understand and appreciate both the known and potential dangers of participating in and attending D1SA events and acknowledge that both participants and attendees of such events may, despite D1SA Football's efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, hospitalization, disability and/or death.
I voluntarily assume all such dangers and risks and accept sole responsibility for any illness, loss or Liability that may result from participating in or attending any and all D1SA Football events.
I acknowledge and agree that the release, waiver, covenant not to sue and indemnification obligations previously set forth above extend to any liabilities arising due to any person contracting or transmitting COVID-19 as a result of participating in or attending any and all D1SA Football events.
Release and Waiver;
I release D1SA Football, its directors, officers, coaches, trainers, employees, agents, volunteers, successors, or assigns from any and all liability for and waive any and all claims for injury, loss, damage, or expense, including attorney’s fees, in any way connected with my registered athlete(s) participation in or attendance at D1SA football practices, training sessions, games, scrimmages, team meetings, parent meetings, pep rallies, fundraisers, community outreach, or any other event organized by D1SA Football whether or not caused in whole or part by the negligence or other misconduct of D1SA Football or any of the individuals mentioned above.
I agree to indemnify and to hold harmless D1SA Football and its directors, officers, employees, agents, volunteers, successors, and assigns from all Claims (including the cost of defending any Claim I might make, or that might be made on my registered athlete(s) behalf, that is released or waived by this instrument) in any way connected with or arising out of my, or my athlete(s) participation in or attendance at any D1SA Football event, whether or not caused in whole or in part by the negligence or other misconduct of the D1SA or any of the individuals mentioned above.
This instrument shall be binding upon my relatives, personal representatives, heirs, beneficiaries, next of kin, or assigns and shall inure to the benefit of the D1SA and its successors and assigns.
This instrument shall be governed, construed, and enforced in accordance with the laws of the state of Virginia.
THIS IS A WAIVER AND RELEASE OF LIABILITY. I HAVE READ THIS WAIVER, RELEASE OF LIABILITY, AND INDEMNIFICATION. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I AM SIGNING THIS WAIVER, RELEASE OF LIABILITY, AND INDEMNIFICATION VOLUNTARILY.
Legal Guardian Signature: Date: