REVISED-09.23.22 Waiver of liability, Photo Release, and Covid-19 Health Declaration
Waiver of liability and Photo Release
By completing and signing this form, I hereby waive, release and discharge any and all claims and damages for personal injury, death, or property damage which I, or my minor children, may sustain or which may occur as a result of my own participation, or that of my minor children, with clay ground LLC.
I further understand and agree that:
This release is intended to discharge in advance clay ground LLC, its owners, officers, employees, contractors, directors, agents and successors from and against any and all liability, except for their sole negligence or intentional acts, connected in any way with my participation or my minor children’s participation in clay ground LLC activities;
Such activities may be of a hazardous, strenuous, and/or physical nature, cause injuries and participation in said activities may result in injury, death or property damage;
Knowing the risk involved, nevertheless, I voluntarily request permission for myself or my minor child to participate in said activities;
I hereby assume any and all risks of injury, death or property damage and to release and hold harmless clay ground LLC, its officers, employees, contractors & agents, except for their sole negligence or intentional acts;
This waiver, release and assumption of risk is binding on me and my heirs and assigns;
I will indemnify and hold clay ground LLC harmless from any loss, liability, damage, cost or expense, including litigation, which it may incur as a result of any injury and/or property damage which myself or my minor children may sustain while participating in said activities;
I will compensate any loss, damage, or cost clay ground LLC may incur if any litigation arises due to any claim made by myself, said minors, or by anyone on said minor’s behalf;
Activities are not child care as defined by the Commonwealth of Virginia;
clay ground LLC is not responsible for unattended children on the premises;
I expressly allow, and hereby waive any objection to, clay ground LLC photographing and/or videotaping of me and/or my minor children when I and/or my minor children are participating in clay ground LLC programs;
I understand and agree that all photographs and videotapes will remain the property of clay ground LLC, and that clay ground LLC may use such photographs or videotapes for archival and promotional purposes.
There is now a new CDC metric called COVID-19 Community Levels which is a tool to help communities decide what prevention steps to take based on the latest data in their area. Levels can be low, medium, or high and are determined by looking at hospital beds being used, hospital admissions, and the total number of new COVID-19 cases in an area.
Covid-19 Health Declaration
For Minors. If you are under 18, you must have a parent or guardian complete this form on your behalf!
Contact information of person completing the form.
I have carefully read this Waiver of Liability, Photography/Videotape Release, COVID19 Release and Indemnification Agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and clay ground LLC, and that I sign (via my Initial ) it of my own free will.