Liability Release and Consent Acknowledgement
Please read this form carefully and be aware that in signing up and participating in this program/activity, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity (including transportation services/vehicle operation, when provided).
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I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Chicago Edge Skating Academy LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Chicago Edge Skating Academy LLC can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, skating academy staff, and other skating academy clients and their families.
I voluntarily seek services provided by Chicago Edge Skating Academy LLC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my sessions.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
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I hereby release and agree to hold Chicago Edge Skating Academy LLC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or that may otherwise arise in any way in connection with any services received from Chicago Edge Skating Academy LLC. I understand that this release discharges Chicago Edge Skating Academy LLC from any liability or claim that I, my heirs, or any personal representatives may have against the academy with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Chicago Edge Skating Academy LLC. This liability waiver and release extends to the Academy together with all owners, partners, and employees.
I fully understand that skating involves risks of serious bodily injury, including permanent disability, paralysis, and death, and that these and other risks may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place and that there may be other risks either not known to me or not foreseen at this time; and I fully accept and assume all such risks and all
responsibility for losses, costs, and damages I incur as a result of my participation in the activity.
I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program/activity against the Chicago Edge Skating Academy, including its officials, agents, volunteers and employees (hereinafter collectively referred as “Chicago Edge Skating Academy”).
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I do hereby fully release and forever discharge the Chicago Edge Skating Academy from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program/activity.
I understand that photos and videos are periodically taken of people participating in Chicago Edge Skating Academy programs and activities and I agree that any photograph or videotape taken by the program of me or my minor child/ward while participating in a park district program or activity may be used by the program for promotional purposes including its electronic media, videotapes, brochures, flyers and other publications without additional prior notice, permission or compensation to the participant.
I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims as well as the general registration policies. If registering online, the checked box in my registration form shall substitute for and have the same legal effect as an original form signature.
I have read and understood the foregoing registration liability release and parental consent form, and agree to all of its terms and conditions by checking the agreement box at the time of purchase.