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Assumption of Risk - Basketball

  1. COVID-19 WAIVER- PLAYER/PARTICIPANT
  2. In consideration of being allowed to participate in any way at the BURLESON RECREATION CENTER, the undersigned acknowledges, appreciates, and agrees that:
  3. 1. The risk of injury and/or illness from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist;
  4. 2. The risk to have contact with individuals, who have been exposed to and/or have been diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies does exist, and it is impossible to eliminate the risk that I could be exposed to and/or become infected through contact with or close proximity with an individual with a communicable disease;
  5. 3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume all full responsibility for my participation;
  6. 4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and
  7. 5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE CITY OF BURLESON, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of the premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
  8. 6. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, BEFORE ACKNOWLEDGING THE CHECKBOX BELOW, I FULLY UNDERSTAND IT’S TERMS, I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT ON MY OWN BEHALF OR ON BEHALF OF THE YOUTH PARTICIPANT ASSOCIATED WITH THIS GUARDIAN ACCOUNT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
  9. ACKNOWLEDGEMENT BY ADULT VOLUNTEER PARTICIPANT: By acknowledging and agreeing to the checkbox below, I agree and verify the following:
  10. 1) I consent and agree to assume the risks of participation; and
  11. 2) I specifically agree to the release as provided herein of all the Releases, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releases from any and all liabilities incident to my involvement or participation in these programs EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
  12. In the event that a participant shows signs or symptoms of COVID-19, I agree to cease all activity at the Burleson Recreation Center until tested and test results are received. Symptoms include:  Cough, Shortness of breath or difficulty breathing, Chills, Repeated shaking with chills, Muscle pain, Headache, Sore throat, Loss of taste or smell, Diarrhea, Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit. Known close contact with a person who is lab confirmed to have COVID-19
  13. I agree to abide by the policies set forth by the City of Burleson. Furthermore, should a player come in close contact with someone who has tested positive for COVID-19, I agree to not have any contact with other players during the quarantine period as outlined by Public Health Authorities. 
  14. By checking this box, you agree to the Voluntary Release and Waiver *
    The waiver and release granted by the participant hereunder is legally binding and shall be considered irrevocable. Participant agrees that the city may rely upon this agreement to the fullest extent permissible at law or in equity.
  15. *If under 18
  16. Leave This Blank:

  17. This field is not part of the form submission.