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* Pearson Automotive Tennis Club is asking that each family fills out a waiver to cover all family members. Please complete this prior to any family members entering PATC. Thank you!

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* Last Name

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* 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.

Pearson Automotive Tennis Club (“the PATC”) has put in place preventative measures to reduce the spread of COVID-19; however, the PATC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the PATC 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 the PATC 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 or infected by COVID-19 at the PATC may result from the actions, omissions, or negligence of myself and others, including, but not limited to, the PATC employees, volunteers, and 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 the PATC or participation in PATC programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the PATC, 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 the PATC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any PATC program.

Please provide an ADULT online signature for you/your family below:

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