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CODE NINJAS - ASHBURN - 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. Code Ninjas Ashburn has put in place preventative measures to reduce the spread of COVID-19; however, we cannot guarantee that you will not become infected with COVID-19. Further, participation could increase your risk of contracting COVID-19. READ CAREFULLY BEFORE SIGNING – INITIAL EACH PARAGRAPH

 

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participation; 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 Code Ninjas Ashburn may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Code Ninjas Ashburn’s employees, volunteers, and program participants and their families. 


 

I voluntarily agree to assume all of the foregoing risks 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 my participation at Code Ninjas Ashburn. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Code Ninjas Ashburn, its employees, agents, and representatives, of and from the Claims, 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 Code Ninjas Ashburn, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at Code Ninjas Ashburn. 


 

I represent that I have adequate insurance to cover any injury or illness I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or illness myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of– all risks that may be created, directly or indirectly, by any such condition. 


 

By signing this document, I agree that if I am exposed or infected by COVID-19 during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence. 


 

I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. 


 

If I have signed a separate general waiver of liability connected to my participation at Code Ninjas Ashburn, I agree that the terms of that waiver are wholly incorporated into this document and that the terms of this document are incorporated into the separate general waiver. 


 

I agree that I will practice safe social distancing and clean hygiene during my participation at Code Ninjas Ashburn. 


 

In consideration of my child/children (Listed Below) being permitted to participate in this activity, I further agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor. 


Please select who will be participating...
AdultMinor
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First Parents Name
First Name*
Last Name*
Phone*
First Parents Age Acknowledgment*
First Parents Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Parents Signature*
Parent or Guardian's Email Address
Email*
Confirm Email*
Student Information
First Child Name *
Second Child Name
Third Child Name
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*
Relationship*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
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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