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THE HITTING CENTER - A community program of Calvary Church
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COVID-19 Waiver and Release Addendum
STUDENT/PARTICIPANT INFORMATION
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First Name:
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Last Name:
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Street:
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City:
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State:
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Zip Code:
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Contact Phone Number (XXX-XXX-XXXX):
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Birthdate:
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Contact Email (Used to send confirmation):
COVID-19 WAIVER ADDENDUM
As an addendum to The Hitting Center ("THC") waiver and release of liability you have already signed, you understand and agree to the following: By entering the THC facility at 1800 S. Dirksen Parkway, you fully accept all known and unknown risks, including the potential risk of exposure to the coronavirus COVID -19.
You also fully understand and acknowledge that despite all the precautions that you, other students, and/or THC may take, we cannot guarantee your health or safety, and you may still be exposed to COVID-19, including through interactions with other individuals who have COVID-19. By executing this release and gaining access to our facility, you, on behalf of yourself, your heirs, beneficiaries, representatives, successors and assigns: (1) voluntarily assume all risks associated with any exposure to COVID-19, including, but not limited to suffering any type of medical condition, illness and, potentially, death; and (2) knowingly and voluntarily waive, release, covenant not to sue, forever discharge, indemnify, and hold harmless THC, its parents and subsidiaries and their respective officers, directors, employees, contractors, agents, representatives, successors and assigns (“Released Parties”) from any and all liability, damages, losses, suits, demands, causes of action to the fullest extent permitted by the laws of this state, or any other claims of any nature whatsoever, arising out of or relating in any way to your use of the facility and your potential exposure to COVID-19.
I have read the above addendum and agree to the terms identified within.
*
*
Is the Student/Participant less than 18 years old?:
YES (Must supply the following guardian information)
NO (Guardian information not needed)
PARENT/GUARDIAN (Required if Student is under 18 yrs of age)
Firstname:
Lastname:
Contact Phone Number (XXX-XXX-XXXX):
Signature: _____________________________________________________________ Date: _______________
(You will receive a confirmation email after submitting. Print it out, sign and bring it with you to your next lesson)
* indicates required fields