After reading about the risks of participation, please review the paragraphs below, initial the insurance notification statement, and sign the second page acknowledging that you have read and understood all items outlined herein.
Release of Liability, Waiver of Claims, Assumption of Risks, and Indemnity Agreement
I understand that all co-curricular and extra-curricular activities and courses conducted off District owned or controlled property have a certain degree of inherent risk which includes known and unkown risks. I understand that such risks may result in personal injury, illness, psychological injusry, death, or property damage. I understand that any of these may impair the participant's future ability to earn a living, engage in business, social, and recreational activities, and to generally enjoy life. I understand the following describes some but not all of the risks:
Inadequate supervision, and failure to ive adequate warnings or instructions
Failure by participatns to heed warnings or follow instructions
The participant's own negligence and the negligence of others
Slipping, tripping, or falling
Failutre to properly maintain vehicles and vehicular accidents
Violence/unlawful acts perpetrated by any individual
Exposure to animals and animal attacks
Exposure to or contraction of bacteria, viruses and diseases, including COVID-19
COVID-19 Affirmation and Additional Risk Disclosure
I AFFIRM that neither I, my child(ren), nor anyone in my immediate household, including the student participant in this activity, have been diagnosed with, demonstrated any symptoms of, or have been exposed to COVID-19, and/or any mutation or variation thereof within the past 14 days.
I understand that participationin this activity or course, during the COVID-19 Pandemic increases the risk of exposure to COVID-19, and/or any mutation or variation thereof. I am also aware that such exposure can occur directly or indirectly. I understand that the risk of exposure cannot be eliminated. I understand that the risk of exposure includes mandated quarantining; short or longer-term hospitalization; permanent injury; and death. I understand that exposure may impair the participant's future ability to earn a living, to engage in business, social, and recreational activities, and to generally enjoy life. I further understand that some individuals are more susceptible to the risks of exposure to COVID-19, including people who are over the age of 65, people with serious underlying conditions such as high blood pressure, chronic lung disease, diabetes, obesity, asthma, and those whose immune systems are compormised. I understand that if I or my participating child(ren) fall within one of these categories, there is greater risk.
I understand that the Matanuska-Susitna Borough School District (District) will NOT assume any liability or responsibility for injury, illness, death, damages, losses, or costs that may occur or be incurred resulting from the participation in this activity or course.
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After reading about the risks of participation, please review the paragraphs below, initial the insurance notification statement, and sign the second page acknowledging that you have read and understood all items outlined herein.
Release of Liability, Waiver of Claims, Assumption of Risks, and Indemnity Agreement
I understand that all co-curricular and extra-curricular activities and courses conducted off District owned or controlled property have a certain degree of inherent risk which includes known and unkown risks. I understand that such risks may result in personal injury, illness, psychological injusry, death, or property damage. I understand that any of these may impair the participant's future ability to earn a living, engage in business, social, and recreational activities, and to generally enjoy life. I understand the following describes some but not all of the risks:
Inadequate supervision, and failure to ive adequate warnings or instructions
Failure by participatns to heed warnings or follow instructions
The participant's own negligence and the negligence of others
Slipping, tripping, or falling
Failutre to properly maintain vehicles and vehicular accidents
Violence/unlawful acts perpetrated by any individual
Exposure to animals and animal attacks
Exposure to or contraction of bacteria, viruses and diseases, including COVID-19
COVID-19 Affirmation and Additional Risk Disclosure
I AFFIRM that neither I, my child(ren), nor anyone in my immediate household, including the student participant in this activity, have been diagnosed with, demonstrated any symptoms of, or have been exposed to COVID-19, and/or any mutation or variation thereof within the past 14 days.
I understand that participationin this activity or course, during the COVID-19 Pandemic increases the risk of exposure to COVID-19, and/or any mutation or variation thereof. I am also aware that such exposure can occur directly or indirectly. I understand that the risk of exposure cannot be eliminated. I understand that the risk of exposure includes mandated quarantining; short or longer-term hospitalization; permanent injury; and death. I understand that exposure may impair the participant's future ability to earn a living, to engage in business, social, and recreational activities, and to generally enjoy life. I further understand that some individuals are more susceptible to the risks of exposure to COVID-19, including people who are over the age of 65, people with serious underlying conditions such as high blood pressure, chronic lung disease, diabetes, obesity, asthma, and those whose immune systems are compormised. I understand that if I or my participating child(ren) fall within one of these categories, there is greater risk.
I understand that the Matanuska-Susitna Borough School District (District) will NOT assume any liability or responsibility for injury, illness, death, damages, losses, or costs that may occur or be incurred resulting from the participation in this activity or course.
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Multi-Item
Free
Recurring