St. Croix Swim Club (SCSC) - ASSUMPTION OF RISK COVID-19 - Snowball Splash
NOTICE: This is a legally binding document. Please read it in its entirety before completing and signing. Coaches (non-SCSC), meet officials, swimmers (non-SCSC) or parent volunteers may not participate in any SCSC-sponsored activities where there is contact with other non-family members without first completing and submitting this form.

COVID-19 WARNING
The Novel Corona Virus 2019 (COVID-19) is an extremely contagious virus that easily spreads person to person. COVID-19 infections have been confirmed throughout the United States, including Minnesota. Federal and state authorities recommend social distancing as well as wearing face coverings, as a means, to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in SCSC sponsored programs and activities (e.g., swim meets, swimming practice, dryland activities, other SCSC functions) could increase the risk of contracting COVID-19.

In anticipation of local pools opening again, SCSC is implementing precautions to prevent the spread of COVID-19 during SCSC sponsored activities. Despite these precautions, SCSC in no way represents, warrants, or guarantees that SCSC members, their families, coaches, meet officials or volunteers will not be exposed to or contract COVID-19 through participation in SCSC programs and activities. Thus, SCSC strongly discourages individuals who are at high risk or who have parents/guardians and other direct household members who are at high risk for severe illness from attending practice and participating in SCSC sponsored activities.

(For more information about who is at high risk for severe illnesses and how to prevent contracting and/or spreading COVID-19, please go to: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/index.html)

AGREEMENT
By completing and signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to and infected with COVID-19 while participating in SCSC sponsored activities and that such exposure or infection may result in illness, personal injury, permanent disability, and/or death. I also understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, SCSC's employees, officials, volunteers, and program participants and their families.

I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury resulting from exposure to COVID-19 (including, but not limited to, personal injury, disability, and/or death) to myself. I understand that any time I feel like the risk is too great to me, I may decide to leave or not attend the SCSC sponsored activity.

On my behalf, and/or on behalf of my minor children, I hereby release, covenant not to sue, discharge, and hold harmless SCSC and its employees, volunteers, agents, the facility, employees of the facility, the school district in which the activity is held and representatives, of and from any claims arising out of my exposure to COVID-19, 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 SCSC and its employees, volunteers, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in SCSC sponsored activities.

By signing this agreement, I also represent and warrant that I have received, understand, and agree that I will follow all the precautions put in place by SCSC and host facility.
Email *
Name of Parent, Legal Guardian, or Adult Participant/Volunteer Completing Form. This is equivalent to a Signature *
Name of your minor Child participating in SCSC Sponsored Activity
Name of your minor Child participating in SCSC Sponsored Activity
Name of your minor Child participating in SCSC Sponsored Activity
Name of your minor Child participating in SCSC Sponsored Activity
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