Return to practice Consent Form

Durango Swim Club Waiver Agreement

By completing and signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I, my children and/or my family may be exposed to and infected with COVID-19 while participating in DSC sponsored activities and that such exposure or infection may result in illness, personal injury, permanent disability, and/or death. I also understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, DSC’s 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 resulting from exposure to COVID-19 (including, but not limited to, personal injury, disability, and/or death) to myself, my children and my family. I understand that any time a swimmer or parent feels like the risk is too great to the swimmer or swimmer’s family, the swimmer and/or parent may decide to leave or not attend the DSC sponsored activity.

I hereby release, covenant not to sue, discharge, and hold harmless DSC and its employees, agents, and representatives, of and from any claims arising out of the my, my children and/or my family’s exposure to COVID-19, 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 DSC and its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in DSC sponsored activities.

By signing this document, I also agree to ensure that I and my family understand and will follow all of the precautions put in place by DSC and the host facility.

Question Title

* 1. My Family & I understand the risks and will follow all precautions put in place by DSC & the host facility.

Yes

Question Title

* 2. My athlete(s) name is:

Athlete 1:

Athlete 2:

Athlete 3:

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* 3. Please type your name and date below as your electronic signature

Consenting Parent's Name (First & Last)

Date