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Assumption of the risk & Waiver of Liability Relating to
Coronavirus/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. As a result, federal, state, and local governments and federal and state health agencies recommend a social distancing and have, in many locations, prohibited the congregation of groups of people.

Jeepers Jamboree & Jeep Jamboree, Inc (the “Corporation”) has put in place preventative measures to reduce the spread of COVID-19; however, the Corporation cannot guarantee that you, your family or your guests will not become infected with COVID-19. Further, participating in the Jeepers Jamboree or Jeep Jamboree (the “Event”) 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 or any member of my family may be exposed to or infected by COVID-19 by my attendance at or participation in the Event and that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 due to my attendance at or participation in the Event may result from the actions, omissions, or negligence of myself and others, including but not limited to, Corporation employees or volunteers and other guests/participants.

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, as well as illness, damage loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at or participation in the Event and my contracting COVID-19 or any symptoms related thereto (“Claims”). I hereby release, covenant not to sue, discharge, and hold harmless the Corporation, as well as, any of its partners, officers, employees, agents, representative or volunteers from any and all liability, directly or indirectly, under any theory of law (contract, tort negligence or otherwise), available to me or anyone else, for any liabilities, claims, action, losses, costs and expenses of any kind (including reasonable attorney fees) or damages (including direct, indirect, special, incidental, punitive or consequential) resulting from or occasioned by my attendance at or participation in the Event and contracting COVID-19 or any symptoms related thereto. I understand and agree that this release includes any Claims based on the action, omissions, or negligence of the Corporation its partners, officers, employees, agents, representatives or volunteers, whether a COVID-19 infection or the appearance of any symptoms related thereto occurs before, during, or after my attendance at or my participation in the Event.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

For a participant under 18 years of age the parent with the legal custody, or the minor’s legal guardian must sign this release form. 

Date: November 30, 2021

First Participant's Name

First Name*

Last Name*
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*
Check to receive information, news, and discounts 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*

Last Name*
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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