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2020-2021 Covid Waiver

Flying Gravity Circus 

Liability Waiver for Reopening During and After the COVID-19 Pandemic

 

In consideration of the services provided by the FLYING GRAVITY CIRCUS (hereinafter referred to as “FGC”), and the High Mowing School, their trustees, directors, staff, employees, coaches, participants, independent contractors, volunteers, interns, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "Releasees"), 

 

Representations

I am/I, as guardian of the MINOR, represent that I am/the MINOR is in good health and have had no known exposure to COVID-19 and no symptoms of COVID-19, including Cough, Shortness of breath or difficulty breathing, Fever, Chills, Repeated shaking with chills, Muscle pain, Headache, Sore throat, New loss of taste/smell, or symptoms associated with Multi-System Inflammatory Syndrome in children, including persistent fever (4-5 days), rash, and/or abdominal pain for 14 days prior to attending the facility. I/the Minor acknowledge that if I/the Minor have had any exposure to COVID-19, I/the Minor will immediately cease attendance at all FGC activities until I can again warrant that I/the Minor have had no known exposure for the 14 day period and alert FGC if I/the Minor have been on the premises since my/the Minor’s  exposure.

 

Promises to Abide by New Precautions

The facility is making its best efforts to reduce the risk of transmission of COVID-19. But the safety of the community is in the hands of every one of us. I expressly agree and promise to abide by the safety precautions as contained in the FGC Reopening Plan & Pandemic Procedures found on our website. (https://www.flyinggravitycircus.org/covid-19-response)

 

Clear and Unambiguous Risk

I am aware that training during and after the COVID-19 pandemic involves certain inherent risks, dangers and hazards, which can result in serious infection, personal injury or death. I further acknowledge, understand, appreciate, and agree that my participation may result in possible exposure to and illness from COVID-19. While protocols and personal discipline may reduce this risk, the risk of serious injury, illness, and even death is not possible to fully mitigate. 

 

Assumption of Risk

I hereby freely agree to assume and accept all known and unknown risks of exposure to COVID-19, even arising from the negligence of the Releasees or others and assume full responsibility for my participation. I further recognize and acknowledge that the risks inherent in training can be greatly reduced by practices and protocols enumerated in the above paragraph, including pre-screening procedures; temperature checking; disinfecting of premise, apparatus, props and surfaces; masks requirement, 6 ft. social distancing, designation of apparatus and props, and airflow among others. I am also well aware and acknowledge that risks can be mitigated through the guidance and monitoring of information from credible resources including the CDC, state, and local agencies’ guidelines to fight COVID-19. References include:

Centers for Disease Control and Prevention (https://www.cdc.gov/)

State of New Hampshire (https://www.nh.gov/covid19/)

County of Hillsborough, NH (http://hcnh.org/)

 

I hereby waive, release, and discharge all claims that I have or may have in the future, and covenant not to sue your business, its administrators, directors, agents, officers, volunteers, employees, contractors, other participants, any sponsors, advertisers, owners, and lessors of the premises on which the activity takes place (each considered one of the "Releasees" herein) from all liability, claims, demands, losses, damages, on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations.

 

Indemnification Agreement

I further agree that if, despite this release, waiver of liability, and assumption of risk, I or anyone on my behalf makes a claim against any of the Releasees, I will indemnify, defend, and hold harmless each of the Releasees from any loss, liability, damage, or cost, including attorneys' fees, which any of the aforementioned may incur as a result of such a claim. 

 

As-Is Clause

I accept for use as-is the equipment to be used in activities governed by this Agreement.

 

Acknowledgement of Understanding

I have read this Agreement and I fully understand its terms. I understand that I am giving up substantial rights, including my right to sue the facility and its staff for injuries resulting from the inherent risks of training during and after the COVID-19 pandemic, and the ordinary negligence of the facility and staff. I further acknowledge that I am signing this Agreement freely and voluntarily, without inducement or assurance of any nature, and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by the laws of the state of New Hampshire.

 

Forum Selection, Consent to Jurisdiction, and Choice of Governing Law

This Agreement, and all claims or causes of action (whether in contract, tort or statute) that may be based upon, arise out of or relate to this negotiation, execution or performance of this Agreement (including any claim or cause of action based upon, arising out of or related to any representation or warranty made in or in connection with this Agreement or as an inducement to enter into this Agreement), shall be governed by, and enforced in accordance with, the internal laws of the State of New Hampshire, including its statutes of limitations and without regard to its choice of law principles. The undersigned herein irrevocably consents to the jurisdiction of the courts in New Hampshire, which shall be the sole forum for the resolution of any disputes that arise out of or relate to the parties' relationship. 

 

Merger - Integration

The parties intend this statement of their Agreement to constitute the complete, exclusive, and fully integrated statement of their Agreement. As such, it is the sole expression of their Agreement, and the other agreements entered by the parties are incorporated here by reference and consist of  (1)  FGC Reopening Plan & Pandemic Procedures and (2) Safety First Partnership Agreement & Assumption of Risk Entry Survey . Both of these can be found on the Flying Gravity Circus website. (https://www.flyinggravitycircus.org/covid-19-response)

 

No Oral Modification

This Agreement may not be changed orally, and no modification, amendment or waiver of any provision contained in this Agreement, or any future representation, promise or condition in connection with the subject matter of this Agreement shall be binding upon any party hereto unless made in writing and signed by both parties.

 

No Strike-Outs

In order to participate in classes, performances, or other events at FGC, the undersigned accepts the entire Agreement. No written modification or strike-out of the originally typed Agreement shall be effective unless signed by both parties.

 

Severability

I agree that if any portion of this Agreement is held to be invalid, that portion shall be severable, and the remaining Agreement shall continue to have full force and effect. 

 

Binding Effect of Agreement

In the event of my death or incapacity, this Agreement shall be effective and binding upon my heirs, estate, next of kin, executors, administrators, assigns and representatives.     

 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against FGC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

Parental Consent

In consideration of my Minor child/children being permitted by the facility to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless the ‘FGC’ from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor. 

 

 

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and updates by e-mail.
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*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
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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