COVID19 Liability Release Waiver for Black People Who Hike, LLC
*Disclaimer if you have already accepted the terms previously you do not have to complete an additional waiver.

Please type your name below as a legal representation of your signature and consent of this agreement. If the participant is under the age of 18 please enter the participants name and parent/guardian name and relationship.

The World Health Organization has declared the novel Coronavirus COVID19 a
worldwide pandemic. Due to its capacity to transmit from person-to-person through
respiratory droplets, the government has set recommendations, guidelines, and some
prohibitions which Black People Who Hike, LLC. (the "Organization") adheres to comply.

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Email *
In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following: I am aware of the existence of the risk on my physical appearance to the venue and my participation to the activity of the Organization that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID19 that may lead to paralysis or death. *
I have not, nor any member(s) of my household experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID19 or any communicable disease within the last 14 days. I have not, nor any member(s) of my household, traveled by sea or by air, internationally within the past 30 days. *
I did not, nor any member of my household, visit any any area within the United States that was reported to be highly affected by COVID19, in the last 30 days .Please list all areas that you have traveled out of state within last 30 days. *
I have not been, nor any member(s) of my household, diagnosed to be infected ofCOVID19 virus within the last 30 days. I am not, nor any member(s) of my household awaiting COVID19 testing results Following the *
 Following the pronouncements above I hereby declare the following: I am fully and personally responsible for my own safety and actions while and during may participation and I recognize that I may be in any case be at risk of contracting COVID19. *
With full knowledge of the risks involved, I hereby release, waive, discharge the Organization, its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID19. *
I agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related toCOVID19. *
I agree that I have an obligation to disclose to the organization if myself or any member(s) of my household is known to have been exposed to or contractedCOVID19 within the 14 days prior to or immediately following each event or gathering. *
By signing below, I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen 18 years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation. This waiver will remain effective until laws and mandates relevant to COVID19 are lifted. By typing my name below I am agreeing to a legal representation of my signature and consent to this agreement in full.   *
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A copy of your responses will be emailed to the address you provided.
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