Andover Winter Classic Tournament Waiver
January 30-31, 2021
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Email address *
Contact Phone Number *
Division *
Name of participant's team (i.e. Andover 6B) *
Upon your acceptance of this signed form, I, my heirs, executors and administrators, intending to be legally bound hereby, waive and release any and all rights I may have against the Andover Traveling Boys Basketball (ATBB), Anoka Hennepin School District 11 and/or any of its facilities or schools, Adrenaline Sports Center, Lord of Life Church, tournament officials and their representatives from any and all injuries suffered by coaches and/or players at ATBB events. In accordance with the most recent guidance and recommendations issued by the state of Minnesota, available at the Stay Safe Minnesota website (, which is based upon Centers for Disease Control Prevention (CDC) and Minnesota Department of Health (MDH) guidelines for COVID-19, the undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating children shall visit or utilize the facilities, services, and/or programs of FLHC if he or she:* experiences symptoms of COVID-19, including, without limitation, fever of 100.4 (F) or above, cough, loss of sense of taste or smell, or shortness of breath, or * has a suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify ATBB immediately if he or she believes that any of the foregoing access/use restrictions may apply. The Andover Winter Classic Tournament is following the guidelines and procedures set forth by MYAS. MYAS has taken certain steps to implement recommended, appropriate guidance and recommendations issued by public health agencies for slowing the transmission of COVID-19, including, without limitation, the access/use restrictions set forth above. MYAS COVID-19 Safe Play (and other resources provided by the MN Department of Health and Centers for Disease Control) can be reviewed at The undersigned acknowledges and agrees that MYAS and ATBB may revise its procedures at any time based on updated recommended guidance and recommendations issued by public healthy agencies and further agrees to comply with MYAS's revised procedures prior to utilizing the facilities and services, and/or prior to participating in the programs of ATBB. The undersigned further acknowledges and agrees that, due to the nature of the facilities, services, and programs offered by the ATBB, social distancing of 6 feet per person among children and their fellow participants is not always possible. The undersigned fully understands and appreciates both the known and potential dangers or participating in the programs and/or utilizing the facilities and services of ATBB and acknowledges that the use thereof by the undersigned and/or such participating children may, despite ATBB's reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death. I HAVE CAREFULLY READ THE ANDOVER WINTER CLASSIC TOURNAMENT WAIVER STATEMENT AND COVID-19 WAIVER AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OR LIABILITY, AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS. INCLUDING THE RIGHT TO RECOVER DAMAGES FROM ATBB, ANOKA HENNEPIN SCHOOL DISTRICT 11, OAK VIEW MIDDLE SCHOOL, COON RAPIDS MIDDLE SCHOOL, ADRENALINE SPORTS CENTER, OR LORD OF LIFE CHURCH IN CASE OF ILLNESS, INJURT, DEATH, OR PROPERTY LOSS OR DAMAGE, INCLUDING, FOR THE AVOIDANCE OF DOUBT AND WITHOUT LIMITATION, EXPOSURE TO COVID-19 AT ANY ATBB FACILITY OR DURING PARTICIPATION IN AN Y PROGRAM AND ANY ILLNESS, INJURY, OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF AND INDEMNIFICATION FOR ALL CLAIMS. IF SIGNING ON BEHALF OF A MINOR: I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF MY MINOR CHILD(REN) AND/OR LEGAL WARDS, AND I REPRESENT AND WARRANT TO ATBB THAT I HAVE FULL AUTHORITY TO SIGN THE AGREEMENT ON BEHALF OF SUCH MINOR(S). *
Player's Signature (First & Last Name) *
Parent/Legal Guardian Signature (First & Last Name) *By entering your name below, you are acknowledging and agreeing to this waiver for your player and yourself as a spectator. *
COACHES ONLY - Coach's Signature (First & Last Name)By entering your name below, you are acknowledging and agreeing to this waiver.
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