BAC CENTER OF EXCELLENCE LLC COVID-19 WAIVER FORM - Fall-Winter 2020 - MASTERS
THIS FORM NEEDS TO BE AFFIRMED EVERY DAY FOR EVERY ATHLETE BY 9:00 PM THE EVENING BEFORE PARTICIPATION.

If the waiver is NOT completed for your athlete before 9:00 pm, your athlete must check-in with their POD Coach prior to entering the facility.

IT MUST BE COMPLETED ONCE PER ATHLETE DAILY.

The GOOGLE FORM waiver serves as an ongoing acknowledgment and agreement to all terms associated with the:

BAC COE Fall waiver for "MASTERS" at BAC.


Email Address for the ATHLETE
Email address *
Athlete First Name *
Athlete Last Name *
USMS ID *
Please select your Workout POD *
Workout Date *
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Emergency Phone Number *
2020-21 Fall/Winter Daily COVID-19 Waiver
Return to Practice Safety Code of Conduct and Waiver for BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. Assumption of risk and waiver of liability associated with coronavirus and COVID-19 I understand that coronavirus is highly contagious and that it is usually transmitted from person to person. I understand that attending swim practice activities with other people could increase my risk of contracting the virus even if I follow all the protection guidelines. I understand that participating in swim practice activities is a personal decision and completely voluntary and not required for continued club membership in any way. In order to best protect myself, my teammates, my coaches, my family, and my community, I promise to follow all social distancing and other protective measures required by my club and the facilities where I practice as well as any state or local mandates that are in effect. Swimmer Supplementary COVID-19 Safety Code of Conduct Parent/Guardian initials to indicate agreement I promise not to come to practice if I 1) have had COVID-19 and do not have a doctor’s note permitting me to return to practice, 2) do not feel well, 3) have a temperature above 100.00F *, 4) have been around anyone who has had COVID-19 in the past two weeks, feel ill, or have a fever, 5) have traveled but not completed the two-week self-quarantine period recommended by the CDC or required by state mandate. This includes all out of state travel. 6) am awaiting COVID-19 test resultsI promise not to come to practice if someone in my household doesn’t feel well or has a temperature greater than 100.00F. I promise not to come to practice if I have been within safe social distance for a duration longer than 15 minutes with anyone diagnosed with COVID- 19 in the past two weeks. I will follow my club’s social distancing rules AT ALL TIMES even if my team’s recommended spacing is greater than 6 feet. I will not spit in the pool, on deck, or near the facility at any time. I will not touch anyone else’s belongings. I will arrive at the pool showered and dressed to swim and will leave in my suit. I will bring only the essential items with me to practice. I will bring a water bottle with me to practice, no water will be available for hydration at the facilities. If a COVID-19 infection occurs at BAC Center of Excellence LLC and or any Berkeley Aquatic Club, Inc program. or new information becomes available about additional risk reduction, I will follow all extra protective measures required by my club. Failure to follow these rules will result in loss of my ability to participate in the program, until a time where restrictions are not required. All swimmers and parents must agree to review and abide by this Safety Code of Conduct before voluntarily participating in BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. programs. All other Club, New Jersey Swimming, and USA Swimming codes of conduct, rules, and policies remain in effect. Based on information as of July 31, 2020. Return to Practice Safety Code of Conduct and Waiver for BAC Assumption of risk and waiver of liability associated with coronavirus and COVID-19 ACKNOWLEDGEMENT In consideration for being permitted to participate in the programs of BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. (“the Club”) including, but not limited to, observation or use of facilities or equipment, or participation in any on- or off-site program affiliated with BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc., I acknowledge that (a) novel coronavirus (''COVID-19") infections have been confirmed throughout the United States including in New Jersey; (b) COVID-19 is extremely contagious and is believed to be spread by various methods including person-to-person contact and contact with contaminated surfaces; and (c) that it is believed that people who have COVID-19, but do not show symptoms, may be able to spread the virus. AGREEMENT TO ABIDE BY CLUB PROCEDURES/POLICIES I hereby agree, represent, and warrant that neither I nor my children shall visit or utilize the programs of the Club if I, he or she: (i) experiences symptoms of COVID-19 including without limitation, fever, cough, shortness of breath, chills, repeated shaking with chills, muscle pain, headache, sore throat or new loss of taste and/or smell (or any other symptom later to be determined to be a symptom of COVID-19); (ii) has a suspected or diagnosed/confirmed case of COVID-19; or(iii) within the last 14 days has been exposed to someone who exhibits the symptoms listed in (i) above or has a diagnosis as set forth in (ii) above. I agree to notify Tristan@BerkeleyAquaticClub.com immediately if I believe that any of the foregoing access/use restrictions may apply. (iv) within the last 14 days been with safe social distance for a duration exceeding 15 minutes with anyone with COVID-19BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc.has taken and may in the future take certain steps to slow the transmission of COVID-19 including without limitation the access/use restrictions set forth above.I acknowledge and agree that BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. may revise its procedures at any time and further agree to review and to comply with the Club's revised procedures as a condition of participating in programs at BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc.I further acknowledge and agree that due to the nature of the facilities, services, and programs offered by BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc., social distancing of 6 feet per person may not always be possible.I understand that the risk of becoming exposed to or infected by COVID-19 during BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc.programming may result from the actions, omissions, or negligence of myself and others, including, but not limited to, BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. and facility employees, volunteers, and program participants and their families. I fully understand and appreciate both the known and potential dangers of utilizing the BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. programs and entering any facilities where programming occurs and acknowledge that use thereof by me and/or my children is completely voluntary and may, despite reasonable efforts to mitigate such dangers, result in exposure to COVID- 19, which could result in quarantine requirements, serious illness, disability, and/or death. IN FURTHER CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN PROGRAMS OFFERED BY THE CLUB AND ENTERING FACILITIES AT WHICH THIS PROGRAMMING TAKES PLACE INCLUDING BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQUIPMENT OR PARTICIPATION IN ANY PROGRAM AFFILIATED WITH THE CLUB, I HEREBY AGREE TO THE FOLLOWING: ASSUMPTION OF RISK AND RELEASE OF LIABILITY By signing this agreement, I voluntarily assume all known and unknown risks of COVID-19 exposure and accept sole responsibility for any injury to my child(ren) or myself including but not limited to quarantine, personal injury, illness, disability, and/or death, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with participating in BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. programming (collectively, “Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Berkeley Aquatic Club and BAC Center of Excellence LLC, it’s officers and employees. Based on information as of July 31, 2020.USA SWIMMING INC., their employees, agents, representatives, and volunteers (collectively, “Releasees”) of and from all Claims of every kind arising out of or relating to COVID-19. I understand and agree that this release includes all Claims based on the actions, omissions, or negligence of the Club, its officers, directors, employees, agents, volunteers, and representatives whether a COVID-19 infection occurs before, during, or after participation in any Club program. INDEMNIFICATION I HEREBY AGREE TO INDEMNIFY, SAVE AND HOLD HARMLESS BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. and all other Releases from any loss, liability, damages or costs (including without limitation costs of defense and legal fees for counsel of such Releasee’s choosing) which such Release may incur, whether caused by active or passive negligence, or otherwise while I or my child(ren) are in, upon, or about Club premises or present for or participating in any program affiliated with the Club, specifically including any loss, liability, damages or costs arising from or related to Claims which may be asserted by my children or their representative. I understand and agree that the Club is not required to provide insurance to cover me or my children in the event they suffer COVID-19 related damage, quarantine, illness, injury, or death, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with BAC Center of Excellence LLC and Berkeley Aquatic Club, Inc. CONCLUSION AND AGREEMENT TO ALL TERMS I expressly agree that the foregoing ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the laws of the State of New Jersey and that if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect.I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS AGREEMENT. I AM NOT RELYING ON ANY REPRESENTATIONS, STATEMENTS OR INDUCEMENTS, WRITTEN, ORAL OR OTHERWISE, NOT SET FORTH IN THIS AGREEMENT. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING MY AND MY CHILDREN’S RIGHT TO RECOVER DAMAGES FROM THE CLUB ARISING FROM OR RELATED TO EXPOSURE TO COVID-19 AND/OR ANY QUARANTINE REQUIREMENTS, ILLNESS, INJURY OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE, A RELEASE, AND AN INDEMNIFICATION FOR ALL CLAIMS. I ALSO UNDERSTAND AND AGREE THAT THIS AGREEMENT IS ALSO MADE ON BEHALF OF MY MINOR CHILD(REN) AND/OR LEGAL WARDS AND I REPRESENT AND WARRANT TO THE CLUB THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR(S). ADULT SWIMMERS AND PARENTS/GUARDIANS MUST SIGN THIS FORM AS A PRECONDITION TO PARTICIPATING IN BAC PROGRAMS. Based on information as of July 31, 2020. *
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