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Rancho Compasion Sanctuary

COVID-19 Waiver and Release

 

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, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

Rancho Compasion has put in place preventative measures to reduce the spread of COVID-19; however, Rancho Compasion cannot guarantee that you will not become infected with COVID-19. Attending Rancho Compasion events and functions could increase your risk of contracting COVID-19.

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 attending Rancho Compasion events and functions, 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 while at Rancho Compasion  may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Rancho Compasion, its Board of Directors, employees, independent contractors, agents, volunteers, representatives and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my myself, and to family (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 presence at Rancho Compasion events and functions. I hereby release, covenant not to sue, discharge, and hold harmless Rancho Compasion, its Board of Directors, employees, independent contractors, agents, volunteers, 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 Rancho Compasion, its Board of Directors, employees, independent contractors, agents, volunteers, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Rancho Compasion event or function.

I hereby release Rancho Compasion,  any person(s) acting on its behalf, and the owner of the premises of any liability or responsibility for COVID-19. I understand this is a calculated risk and that Rancho Compasion, its Board of Directors, employees, independent contractors, agents, and representatives are not responsible if anyone contracts an illness.

 

First Visitors & Volunteers Name

First Name*

Last Name*

Phone*
First Visitors & Volunteers Date of Birth*
I certify that I am 18 years of age or older
First Visitors & Volunteers Signature*
Second Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Second Visitors & Volunteers Date of Birth*
Third Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Third Visitors & Volunteers Date of Birth*
Fourth Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Fourth Visitors & Volunteers Date of Birth*
Fifth Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Fifth Visitors & Volunteers Date of Birth*
Sixth Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Sixth Visitors & Volunteers Date of Birth*
Seventh Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Seventh Visitors & Volunteers Date of Birth*
Eighth Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Eighth Visitors & Volunteers Date of Birth*
Ninth Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Ninth Visitors & Volunteers Date of Birth*
Tenth Visitors & Volunteers Name

First Name*

Last Name*

Phone*
Tenth Visitors & Volunteers Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information about tours, events and happenings!
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's 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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