EMERALD DRAGON KARATE                                                                           PRINT OUT PAGE (1) Turn it in at your first visit.

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 reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life threatening illness and even death.

EMERALD DRAGON KARATE, LLC, hereafter also referred to as EDK, cannot prevent you or your children from becoming exposed to, contracting, or spreading COVID-19 while utilizing EDK’s services or premises. It is not possible to prevent against the presence of the disease. Therefore, if you choose to utilize EDK’s services and/or enter onto EDK’s premises you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

ASSUMPTION OF RISK: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to utilize EMERALD DRAGON KARATE’s services and enter EDK’s premises. These services are of such value to me and/or to my children, that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to utilize EDK’s services and premises in person.

WAIVER OF LAWSUIT/LIABILITY:

I hereby forever release and waive my right to bring suit against EMERALD DRAGON KARATE, LLC and its owners, officers, directors, managers, officials, trustees, agents, employees, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing EMERALD DRAGON KARATE’s services and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

CHOICE OF LAW: I understand and agree that the law of the State of PENNSYLVANIA will apply to this contract.

I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE:

 

Signature:                                                                                       Date:  ________________________________                                                      

 

Name (printed):  ____________________________________________

 

I am the parent or legal guardian of the minor named above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release.

 

Signature :                                                                                      Date: _________________________________

 

Name (printed):  _____________________________________________

June 01, 2020

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