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Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

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, provincial, and local governments and federal and provincial health agencies recommend social distancing. Trio Sportsplex (“the Facility”) has put in place preventative measures to reduce the spread of COVID-19; however, the Facility cannot guarantee that you will not become infected with COVID-19. Further, renting and or attending any indoor programming/games/parties could increase your risk of contracting COVID-19.

By signing this agreement, I acknowledge and am fully aware of the contagious nature, the risks and hazards with respect to COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending and participating at the Facility 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 the Facility may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Facility employees, volunteers, and program participants and their families. I freely and voluntarily agree to assume all of the foregoing risks with respect to COVID-19 and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with attendance and participation at the Facility. I hereby release, covenant not to sue, discharge, and hold harmless Trio Sportsplex, its employees, agents, and representatives, of and from the Facility, including all 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 the Facility, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any of the Facility’s programming and games.

Appendix B – Participant Agreement Application – all athletes, coaches, members, volunteers, participants and family members of participants while in attendance at Trio Sportsplex (“Participants”). The Participant acknowledges that they are aware of the national, and provincial state of emergency caused by COVID-19 pandemic and the evolving nature of the health crisis, including the danger of community spread and risk posed to the health of those who contract COVID-19. All Participants agree to abide by the following points when entering TRIO Sportsplex and/or participating in rental/ training/ team activities under Re-Opening and COVID-19 Exposure Control Plan:

1) I agree to symptom screening checks and will let my coach/ instructor or team know if I have experienced any of the symptoms in the last 14 days

2) I agree to stay home if feeling sick and remain home for 14 days if experiencing COVID-19 symptoms.

3) I agree to sanitize my hands upon entering & exiting of TRIO Sportsplex with soap or hand sanitizer.

4) I agree to sanitize the equipment I use throughout my practices with approved cleaning products provided by my team (shared and personal equipment).

5) I agree to continue to follow physical distancing protocols of staying at least 2 meters away from people outside of my soccer bubble.

6) I agree to not share any equipment during practice, training or games with people outside of my soccer bubble.

7) I agree to abide by all of TRIO Sportsplex COVID-19 Policies and Guidelines.

8) I understand that if I do not abide by the aforementioned policies/ guidelines, that I may be asked to leave TRIO Sportsplex for up to 14 days to help protect myself and other around me.

9) I acknowledge that continued abuse of the policies and/or guidelines may result in an expulsion from TRIO Sportsplex.

10) I acknowledge that there are risks associated with entering TRIO Sportsplex and/or participating in activities within TRIO Sportsplex, and the measures taken by TRIO Sportsplex, including those set out above and under the COVID-19 Re-Opening Plan, will not entirely eliminate those risks.

The participant signature below is made freely and voluntarily; recognizing TRIO Sportsplex management is relying on these truthful representations in re-opening business operations of the facility and providing the services the customer/ participant is seeking.

Signed Date: April 20, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 19 years of age or older
First Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Disclosure
IMPORTANT: At a later date, if you are in violation of any COVID-19 related criteria mentioned above, it is your obligation to inform Trio Sportsplex. If the facility has not been informed through written consent, the information above is deemed to be valid and upheld. Also note that if any questions above are answered 'YES', it is your responsibility to notify the facility after completing the form.*
I Agree
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 19 years of age or older
Parent or Guardian's COVID Questionnaire
Have you had close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?*
No
Yes
Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?*
No
Yes
Do you have a fever?*
No
Yes
Do you have a new onset of cough or a worsening chronic cough?*
No
Yes
Do you have a sore throat?*
No
Yes
Do you have a decrease or loss of sense, of taste or smell?*
No
Yes
Do you have headaches?*
No
Yes
Do you have nausea/ vomiting, diarrhea, abdominal pain, Pink Eye ( Conjunctivitis)?*
No
Yes
Are you experiencing shortness of breath or difficulty breathing?*
No
Yes
Do you have difficulty swallowing?*
No
Yes
Do you have chills?*
No
Yes
Do you have a runny nose or nasal congestion without other known cause?*
No
Yes
Have you been in any social gatherings with more than 10 people in the past two weeks? If yes, Please call the office.*
No
Yes
Have you had a Covid 19 test done recently and waiting for results? If yes, please call the office.*
No
Yes
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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