Bintang Badminton Covid-19 Info and Waiver Form
Everyone who plays at a Bintang Badminton facility should have this form filled out prior to their first visit. The purpose of this form is to be able to quickly reach out to everyone who have used the facility, in the event that any particular message may need to be communicated urgently. This form also clears the person for entering and using the facility.
Full Name (First Last) *
Contact Number *
Your phone number will ONLY be used to contact you for any important communication. Your number will not be used otherwise or given to any other third-party.
Email *
Your email will ONLY be used to contact you for any important communication. Your email will not be used otherwise or given to any other third-party.
Safety Protocols *
Please read and check off each safety protocol to confirm that you understand and will follow it.
Covid-19 Waiver *
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. 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 federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.Bintang Badminton has put in place preventative measures to reduce the spread of COVID-19; however, Bintang Badminton cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Bintang Badminton could increase your risk and your child(ren)’s risk of contracting COVID-19.By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that you may be exposed to or infected by COVID-19 by attending Bintang Badminton and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Bintang Badminton may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Bintang Badminton employees, volunteers, and other participants and their families.I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at the Bintang Badminton. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Bintang Badminton, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at Bintang Badminton.
Release and Waiver of Liability *
I fully realize the dangers of participating in this strenuous athletic activity and fully assume risks with such participation. Specific risks vary from one activity to another and the risks range from minor injuries to major injuries, such as catastrophic injuries including death. I hereby waive, release, and discharge myself, my heirs, executor, administrator, legal representative, and successors in interest, any and all rights and claims which I have or which may hereafter accrue to me against Bintang Badminton, its personnel, or its representatives, for any and all damages which may be sustained by myself either directly or indirectly in connection with, or arising from, my participation and/or association with playing badminton or any other activity within the facility whether related to exercise or not, even if resulting from the negligence of Bintang Badminton or anyone using the facility.
Signature *
By e-signing below, I confirm that all the information in this form is true and filled out to the best of my knowledge. I also confirm that I have read, I understand, and I accept the Covid-19 waiver and the release and waiver of liability.
Date *
Please enter today's date.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy