Mohonk Mountain House COVID-19 Waiver & Wellness Screening

Coronavirus / COVID-19 Warning, Disclaimer and Assumption of the Risk Agreement

I understand and agree that Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact, and that there is an inherent risk of contracting a COVID-19 infection. Federal and state authorities recommend social distancing as a mean to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in Mohonk Mountain House programs or accessing Mohonk Mountain House facilities could increase the risk of contracting COVID-19. I agree and understand that Mohonk Mountain House in no way warrants that COVID-19 infection will not occur through participation in Mohonk Mountain House programs or accessing Mohonk Mountain House facilities. In participating in Mohonk Mountain House programs or accessing its facilities, I expressly assume the risk of contracting COVID-19.

In consideration of my accommodations at Mohonk Mountain House and the opportunity to participate in resort activities, on behalf of myself, my heirs, representatives, executors, administrators, and assigns, HEREBY DO RELEASE Mohonk Mountain House, its officers, directors, employees, volunteers, agents, representatives and insurers (“Releasees”) from any causes of action, claims, or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I, my heirs, representatives, executors, administrators and assigns may have, now or in the future, against Mohonk Mountain House on account of illness, personal injury or death arising out of, or in any way related to, the Coronavirus, use of Mohonk Mountain House facilities/equipment or participation in Mohonk Mountain House programs whether that participation is supervised or unsupervised, however the illness, injury or damage occurs, including, but not limited to the negligence of Releasees.

I further certify that I am in good health and that I have no infectious diseases, conditions or impairments that would preclude my safe participation in resort activities.

Date: April 19, 2024

Please select who will be participating...

Adult Adult and Minor(s)
1 Minor 2 Minors 3 Minors 4 Minors 5 Minors More Minors 6 Minors 7 Minors 8 Minors 9 Minors 10 Minors

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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 18 years of age or older

First Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

New York State has lifted the indoor mask requirement. In alignment with these regulations, masks are now optional at Mohonk Mountain House in all locations, with the exception of the treatment rooms in The Spa at Mohonk Mountain House. Masks are still required for all guests in the Spa treatment rooms, regardless of vaccination status. Additionally, we continue to encourage social distancing for all guests. *

I ACKNOWLEDGE

If you are not feeling well or show any symptoms of Covid-19, we ask you to please stay home and reschedule your visit. Should you develop signs or symptoms of Covid-19 while visiting Mohonk, we ask you to report these to our Safety and Security team for evaluation Please note that you and your travel party may be asked to depart early from your planned stay. *

I ACKNOWLEDGE

First Participant's Signature*

Type Signature

Draw Signature

Click to Sign

Second Participant's Name

First Name*

Last Name*

Second Participant's Date of Birth*

Second Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Third Participant's Name

First Name*

Last Name*

Third Participant's Date of Birth*

Third Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Fourth Participant's Name

First Name*

Last Name*

Fourth Participant's Date of Birth*

Fourth Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Fifth Participant's Name

First Name*

Last Name*

Fifth Participant's Date of Birth*

Fifth Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Sixth Participant's Name

First Name*

Last Name*

Sixth Participant's Date of Birth*

Sixth Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Seventh Participant's Name

First Name*

Last Name*

Seventh Participant's Date of Birth*

Seventh Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Eighth Participant's Name

First Name*

Last Name*

Eighth Participant's Date of Birth*

Eighth Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Ninth Participant's Name

First Name*

Last Name*

Ninth Participant's Date of Birth*

Ninth Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Tenth Participant's Name

First Name*

Last Name*

Tenth Participant's Date of Birth*

Tenth Participant's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Parent or Guardian's Email Address

A signed copy of this waiver will be sent to the email address you provide.

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 18 years of age or older

Parent or Guardian's Information

MOHONK'S COVID-19 POLICY

The safety of our guests, staff, and visitors remains Mohonk Mountain House's top priority.

I ACKNOWLEDGE

Parent or Guardian's Signature*

Type Signature

Draw Signature

Click to Sign

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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