Sacramento Aquatics Club Waiver & Release of Liability
As you know, the novel coronavirus (or COVID-19) has created a pandemic resulting in a State of Emergency in California. 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 health officers have required or recommended social distancing and, in many instances, have prohibited or significantly limited the congregation of groups of people.

Please note that the health and the safety of the swimmers is our first and foremost concern. While we plan on taking every recommended action by state and local officials to keep everyone safe, we understand and support your decision to stay away from the pool if you choose to do so.

SAC is complying with all mandates and taking all reasonable steps to reduce the risk of spreading COVID-19. However, this risk cannot be completely eliminated. Consequently, for the safety of our team, SAC requires all persons participating during this pandemic to acknowledge an assumption of the risk, waive (i.e. release) liability, and agree to abide by our COVID-19 protocols, as follows.

Our plan to continue with practice safely will require the cooperation of everyone involved including athletes, coaches, support staff and swim team families. We expect everyone on the team to adhere to the safety protocols that we have laid out at all times. By doing this it shows respect for your teammates, coaches and their families. Should we feel anyone, including an athlete or a family member, is not following our safety protocols, we reserve the right to suspend the swimmer’s membership. Our staff also reserves the right to suspend practices if at any time they feel safety expectations are not being met or in the event that the facility needs to be cleaned.

Practice Safety Procedure

1. Athletes, coaches, and non-athletes will follow all local public health orders related to the COVID-19 pandemic.
2. By entering the pool facility, athletes, coaches, and non-athletes are verifying that they have conducted a self-assessment and that they are not sick or experiencing COVID-like symptoms, including a fever higher than 100.4 degrees, cough, unusual fatigue or headache or has had recent exposure to someone infected with COVID-19, as defined by the CDC. Those experiencing illness or who were exposed to someone with COVID-19 should not enter the pool facility and should quarantine per current CDC guidelines.
3. When entering the facility, it is recommended that athletes use the hand sanitizing station
4. There will be a marked area for athletes to leave their personal belongings. Athletes are encouraged to keep all items in a bag or backpack.
5. All belongings must be taken home by the athlete when practice ends.

Positive Test Procedure

Should someone within SAC Team test positive for COVID-19:
1. The athlete must notify SAC Parent Booster by email immediately.
2. The athlete will be expected to self-quarantine according to current CDC guidelines.
3. The athlete will not be allowed to return to practice until they receive a negative COVID-19 test and doctors written permission.

I certify that I am familiar with the contents of the Assumption of Risk and Waiver of Liability and Agreement to Abide by COVID-19 Protocols below, that I have read and understand the same, and that it is my intention by completing this form that it bind not only on me, but my heirs, administrators, executors, successors, and assigns, and, if applicable, swimmer(s).
Sign in to Google to save your progress. Learn more
Email *
I agree that I, and/or, if applicable, my swimmer(s), will not enter the pool facilities if I am, and/or he/she/they is/are, feeling ill, which includes, but is not limited to, the following symptoms: fever, cough, difficulty breathing, shortness of breath, chest pain, and/or bluish lips or face. I understand and acknowledge that I, or, if applicable, my swimmer(s), may be denied entrance or admittance if SAC determines that I am, or he/she/they is/are, showing any such symptoms. I warrant and represent that I am not aware of any medical condition of myself and/or, if applicable, my swimmer(s) which would render it inappropriate for me and/or him/her/they to participate with SAC. I agree to abide by SAC's COVID-19-related policies and procedures included above. I agree to practice good hygiene etiquette such as sneezing into my elbow, utilizing tissues, and avoid touching my eyes,nose, and mouth, and, if applicable, to instruct my swimmer(s) to do the same. I understand and acknowledge that my failure to abide by and/or my failure to ensure that any swimmer of mine abides by this Agreement may result in me and/or, if applicable, my swimmer(s), being removed from SAC. * *
Assumption of Risk. I understand and acknowledge the risk to myself and, if applicable, my swimmer(s),of becoming exposed to or infected by COVID-19 at SAC activities, which exposure or infection may result from the actions, omissions, or negligence of myself or others, including, but not limited to, other participants or SAC officials, employees, volunteers, and/or representatives. I assume all such risk and accept sole responsibility for any harm or loss to myself and/or, if applicable, my swimmer(s), including, but not limited to, personal injury or death or related costs or expenses of any kind, that I, or, if applicable, swimmer(s), may experience or incur in connection with SAC activities. * *
Waiver of Liability. In consideration of SAC allowing me and/or, if applicable, my swimmer(s) to participate in SAC activities, I, on behalf of myself, and/or, if applicable, swimmer(s),hereby release and hold harmless Sacramento Aquatics Cub, Parkway Swimming Club, and any officials, employees,volunteers, and/or representatives thereof, from any and all liability for any and all harm or losses arising from participation in SAC activities, including, but not limited to, exposure to or infection by COVID-19. Further, I covenant (i.e. promise) not to sue the Sacramento Aquatics Club, Parkway Swimming Club, or any official,employee, volunteer, and/or representative thereof, for any such harm or loss. *
Parent Name(s) *
Swimmer Name(s) *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy