General Liability Waiver and Hold Harmless Agreement for Facility Use on School District Property
I represent that I am a legal, responsible adult. I represent and warrant that I am signing this document for myself and my children as to any facility usage on School District property to include, but not limited to, the weight room or other workout facility. I am fully aware of the risks and dangers of such usage. I understand that the usage of the weight room and workout facilities is voluntary, at my and my children’s own risk, and that the School District is not responsible in any manner for my or my children’s usage or any personal injury or property damage to me or my children as a result of the usage of any such facility. I further understand that I am solely responsible for any personal injury or property damage caused by me or my children as a result of the usage of any such facility. I acknowledge that, in the middle of a global pandemic, there is a serious risk that, by using the facility, I or my children could contract a dangerous virus or other health condition, and that I accept this risk and nonetheless voluntarily choose to allow my children to use the facility.
In consideration of my children being allowed usage of any District property or facility during the COVID-19 pandemic and for other good and valuable consideration, receipt of which is hereby acknowledged, on behalf of myself, my children and all others who may claim by, under, or through myself I do hereby agree to indemnify and hold harmless and do hereby release, acquit, and forever discharge the School District and all of its officers, employees, agents and assigns, and all other persons or companies from any and all claims, actions, or causes of action which I or my children now have, or which may hereafter accrue, whether for personal injury or property damage, whether known or unknown, arising out of or in any way resulting from my and/or my children’s usage of any District property or facility during the COVID-19 pandemic, including the summer months of 2020.
You will complete one form for each child.
Parent's Last Name
Parent's First Name
Student's Last Name
Student's First Name
Grade in 2020-21
By selecting YES you are stating that you have read and understand General Liability Waiver and Hold Harmless Agreement for Facility Use on School District Property on behalf of yourself and your child.
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This form was created inside of Millard Public Schools.