Assumption of the Risk and 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 social distancing and have, in many locations, prohibited the congregation of groups of people.
Mach Martial Arts Inc. has put in place preventive measures to reduce the spread of COVID-19; however, Mach Martial Arts Inc. cannot guarantee that you and/or your child(ren) will not become infected with COVID-19. Further, attending Mach Martial Arts Inc. could increase your risk and your child(ren)’s risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Mach Martial Arts Inc. 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 and/or infected by COVID-19 at Mach Martial Arts Inc. may result from the actions, omissions, or negligence of myself and/or others, including, but not limited to, Mach Martial Arts Inc. employees, volunteers, program participants, and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Mach Martial Arts Inc. or participation in Mach Martial Arts Inc. programming (“Claims”). On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless Mach Martial Arts Inc., its employees, agents, 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 Mach Martial Arts Inc., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any of its programs.
COVID-19ACKNOWLEDGMENT AND DISCLOSURESTUDENT / FAMILYThis should be initialed and signed by ALL parents/guardians who will be involved in the student’s taekwondo journey.
Please read and initial each statement below.
Initial(s) of ALL Parent(s)/Guardian(s)* I/We understand that during this COVID-19 Public Health Emergency I/we will NOT be permitted to enter the facility beyond the designated drop-off and pick-up area. I/We understand that this procedure change is for the safety of all persons present in the facility and to limit to the extent possible everyone’s risk of exposure.
Initial(s) of ALL Parent(s)/Guardian(s)* I/We understand that IF there is an emergency requiring me to enter the facility beyond the designated drop-off and pick-up area, I/we MUST sanitize my hands before entering, remove my shoes and wear a mask. While in the facility, I/we must practice social distancing and remain 6ft apart from all other persons, except for my own child.
Initial(s) of ALL Parent(s)/Guardian(s)* I/We understand that to enter the studio premises my/our child must be free from COVID-19 symptoms. If, during the day, any of the following symptoms appear, my/our child will be separated from the rest of the persons in the studio. I/We will be contacted, and my/our child MUST be picked up from the studio within 15 minutes.
· fever of 100.4 degrees Fahrenheit or higher
· dry cough
· Shortness of Breath
· Loss of taste or smell
· Sore Throat
· Muscle aches
While many of these symptoms might be non-COVID-19 symptoms we are proceeding with the assumption that they are COVID-19 symptoms during this Public Health Emergency. These symptoms typically appear 2-7 days after being infected, so please take them seriously. You will need to be symptom free for 72 hours before returning to the facility.
Initial(s) of ALL Parent(s)/Guardian(s)* I/We understand that my/our child must always wear a mask while in the studio and on studio premises. Initial(s) of ALL Parent(s)/Guardian(s)* Each student MUST remove their shoes at the entrance of the facility. The student has an option to purchase a pair of Taekwondo shoes or non-slip socks that can be worn only inside the studio. Initial(s) of ALL Parent(s)/Guardian(s)* I/We understand that outside of martial arts, all students will comply with all state, county or local stay-at-home orders; to include guidelines regarding all contact with persons living outside our household. My/Our student and our family will comply with any and all state, county or local stay-at-home orders, will limit contact outside of the studio to persons living in our household and will only go out to inside venues in which we can maintain a minimum 6-ft social distancing. I/We will follow any recommendations from the CDC that limits my risk for exposure including wearing a mask in all public areas and remaining 6ft from all other people. Initial(s) of ALL Parent(s)/Guardian(s)* I/We will immediately notify Mach Martial Arts management if I/we become aware of any person(s) with whom my/our child or I/we have had contact exhibits any of the symptoms listed in Number 3 above, is advised to self-isolate, quarantine, or has tested positive, or is presumed positive for COVID-19. Further, I/we will immediately notify Mach Martial Arts management if any person(s) from my/our place of employment is presumed positive or tests positive for COVID-19 whether or not I/we have had direct contact with that person. Initial(s) of ALL Parent(s)/Guardian(s)* I/We understand that Students entering the studio will be in contact with children, families and employees who are also at risk of community exposure. I/We understand that no list of restrictions, guidelines or practices will remove 100% of the risk of exposure to COVID-19 as the virus can be transmitted by persons who are asymptomatic and before some people show signs of infection. I/We understand that I/we play a crucial role in keeping everyone in the facility safe and reducing the risk of exposure by following the practices outlined herein.
I/We, Name(s) of ALL Parent(s)/Guardian(s)* certify that I/We have read, understand, and agree to comply with the provisions listed herein. I/We acknowledge that failure to act in accordance with the provisions listed herein, or with any other policy or procedure outlined by Mach Martial Arts will result in disciplinary action up to and including termination of membership without refund. I/We acknowledge that my membership will be terminated without refund if it is determined that my/our actions, or lack of action unnecessarily exposes other student(s), their family member(s), and/or instructor(s) to COVID-19.