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Points North Heli-Adventures 2021 Covid Waiver

I acknowledge the contagious and dangerous nature of the SARS-CoV2/Coronavirus (“Covid”) and that many public health authorities recommend several mitigation measures, including but not limited to practicing social distancing and avoiding travel. 

I acknowledge that PNH has put in place measures to reduce the risk of exposure to Covid and acknowledge that those measures may not be sufficient to avoid contracting Covid. I acknowledge that PNH cannot guarantee that I will not become infected with Covid. I understand the risk of becoming exposed to and/or infected by Covid may result from actions, omissions, or negligence by myself or others including PNH employees. I am voluntarily seeking services provided by PNH and acknowledge that I am increasing my risk of exposure to Covid by voluntarily traveling to Alaska and engaging with PNH.

I acknowledge that I must comply with all PNH procedures and guidelines as well as any Federal, State, and local regulations that may be updated without prior notice. I acknowledge that this pandemic is a fluid situation in which regulations, exposure risk, and consequences of contracting Covid will continue to change. I attest that I will comply with the following PNH procedures:

  • Prior to my arrival,
    • I will cancel my trip to PNH if:
    1. I develop any symptoms of illness including but not limited to cough, shortness of breath, fever, chills, headache, loss of taste/smell, sore throat, or difficulty breathing within 14 days prior to my arrival at PNH
    2. I believe I have been exposed to someone with a suspected and/or confirmed case of Covid; OR
    3. I have been diagnosed with Covid and not yet cleared as non-contagious by public health authorities.
    • I will submit to State of Alaska Portal (www.Alaska.covidsecureapp.com):
    1. A Travel Declaration Form; and
    2. Proof of one of the following:
    • Negative Covid test result within 72 hours of departure to Alaska with a qualifying molecular-based test; or
    • A confirmed positive molecular-based test result within 90 days of departure; and asymptomatic; and proof of recovery from a medical provider or public health official indicating you have been released from isolation; or
    • Have completed a full Covid 19 vaccine regimen as recommended by the vaccine manufacturer. 

 

  • While staying with PNH,
    • Upon arrival, I will submit to a Covid test if asked.
    • Upon the request by PNH, for any reason, I will submit to additional Covid tests.
    • I will immediately notify an Operations Manager or Officer Manager if I have any symptoms of illness including but not limited to cough, shortness of breath, fever, chills, headache, loss of taste/smell, sore throat, or difficulty breathing.
    • I will submit to daily temperature checks.
    • Upon request by PNH, I will self-quarantine.

 

  • Prior to arrival and while staying with PNH, I will follow CDC recommendations including but not limited to:
    • Maintaining good hygiene, including washing hands, covering coughs and sneezes, and disinfecting touched surfaces;
    • Social distancing (+6 feet between yourself and others) and/or wearing a mask when unable to social distance; and
    • Monitoring daily health for symptoms.

I agree that PNH may terminate its services for me without any prior notice if PNH deems me or my actions as a Covid risk. If my trip is cancelled for any reason prior to my arrival or terminated after my arrival, I acknowledge that PNH does not owe me a refund or credit.

I hereby release and agree to hold PNH harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of actions, claims, demands, costs, expenses, damages, and/or losses to myself and/or property that may be caused by any act or failure to act. I understand that this release discharges PNH from any liability or claim that I, my heirs, or any personal representatives may have with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any served received from PNH. This liability waiver and release extends to PNH, its owners, and its employees.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
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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