CISV Covid-19 Form
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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 large groups of people. CISV USA and CISV MAINE (“CISV”) have put in place preventative measures to reduce the spread of COVID-19; however, CISV cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending CISV Chapter and CISV Junior Branch in-person activities 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 my child(ren) and I may be exposed to or infected by COVID-19 by attending a CISV in-person activity 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 a CISV in-person activity may result from the actions, omissions, or negligence of myself and others, including, but not limited to, CISV employees, CISV volunteers and CISV program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at in-person CISV activities (“Claims”). On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless CISV, its employees, volunteers, agents, and representatives, of and from the Claims, including 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 CISV, its employees, volunteers, agents, and representatives, whether a COVID-19 infection occurs before, during or after participation in any in-person CISV event or activity. *
Parent/Guardian/Adult Participant: by typing my name and today's date, I agree that this document is signed and agreed upon. *
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