Somerset Youth Hockey Waiver of Liability and Indemnity Agreement
Email address *
Parent/Guardian name *
Child/Participant name *
Hockey Program Name *
IN CONSIDERATION for being permitted to utilize the services and facilities of the Somerset Youth Hockey Association (the "SYHA") and/or for my child listed above to so participate for any purpose, including, but not limited to, observation or use of facilities or equipment, or participation in any off-site program affiliated with SYHA. In addition, the undersigned, on behalf of himself or herself and such participating child (hereinafter referred to as "the undersigned") hereby acknowledges that novel coronavirus (''COVID-19") infections have been confirmed throughout the United States, including many cases in Minnesota and Wisconsin. In accordance with the most recent guidance and protocols issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), the Wisconsin Department of Health (WDH), for slowing the transmission of COVID-19, the undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating child shall visit or utilize the facilities, services, and programs of SYHA within 14 days after exposure to any person who has a suspected or confirmed case of COVID-19. The undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating child shall visit or utilize the facilities, services, and programs of SYHA if he or she (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) has a suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify SYHA immediately if he or she believes that any of the foregoing access/use restrictions may apply.SYHA has taken certain steps to implement recommended guidance and protocols issued by the Public Health Agencies for slowing the transmission of COVID-19, including, without limitation, the access/use restrictions set forth above. The undersigned acknowledges and agrees that SYHA may revise its procedures at any time based on updated recommended guidance and protocols issued by the Public Health Agencies and further agrees to comply with SYHA’s revised procedures prior to utilizing the facilities, services, and programs of SYHA. The undersigned further acknowledges and agrees that, due to the nature of the facilities, services, and programs offered by SYHA, social distancing of 6 feet per person may not be possible at all times and during on-ice activity. The undersigned fully understands and appreciates both the known and potential dangers of utilizing the facilities, services, and programs of SYHA and acknowledges that use thereof by the undersigned and/or such participating children may, despite SYHA’s 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 ENTER SYHA FACILITIES FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO, OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY ON-SITE OR OFF-SITE PROGRAM AFFILIATED WITH SYHA, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF SUCH PARTICIPATING CHILD, HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE SYHA, its directors, officers, employees, volunteers and agents from all liability to the undersigned or such participating children and all personal representatives, assigns, heirs, and next of kin of the undersigned or such participating child for any loss or damage, and any claim or demands on account of any property damage or any injury to, or an illness or the death of, the undersigned or such participating child (or any person who may contract COVID-19, directly or indirectly, from the undersigned or such participating child) whether caused by the negligence, active or passive, of SYHA or otherwise while the undersigned or such participating child are in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with SYHA. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS SYHA, its directors, officers, employees, volunteers and agents, and each of them, from any loss, liability, damages or costs they may incur, whether caused by the negligence, active or passive, or otherwise while the undersigned or any participating child is in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with SYHA. The undersigned understands and agrees that SYHA is not required to provide insurance to cover the undersigned or such participating child in the event they suffer illness, injury, death, property loss, theft or damage of any sort upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with SYHA.The undersigned agrees that use of SYHA facilities and services, and participation in SYHA programs, may involve inherent danger and risk. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR, AND RISK OF ILLNESS, BODILY INJURY, DEATH OR PROPERTY DAMAGE due to negligence, active or passive, or otherwise while in, about or upon the premises of SYHA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with SYHA. The undersigned acknowledges that any illness or injuries that the undersigned or such participating child contracts or sustains may be compounded by negligent first aid or emergency response of the releasees and waive any claim in respect thereof.The undersigned further expressly agrees 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 Wisconsin and should be interpreted to maximize that intent, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM SYHA IN CASE OF ILLNESS, INJURY, DEATH OR PROPERTY LOSS OR DAMAGE, INCLUDING, FOR THE AVOIDANCE OF DOUBT AND WITHOUT LIMITATION, EXPOSURE TO COVID-19 AT ANY SYHA FACILITY OR PROGRAM AND ANY ILLNESS, INJURY OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF AND INDEMNIFICATION FOR ALL CLAIMS. IF SIGNING ON BEHALF OF MINOR: I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF MY MINOR CHILD AND/OR LEGAL WARDS AND I REPRESENT AND WARRANT TO SYHA THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR.I have read and understand the terms of this Assumption of Risk, Release and Waiver of Liability, and Indemnity Agreement and agree to its terms. *
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