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* 1. You are filling out this waiver for?

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* 2. Please enter their first and last name:

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* 3. Even after following protocols set by the State of Minnesota and the CDC, it is still possible to contract COVID-19
while at our facility and participating in Goodhue Baseball & Softball Association (GBSA) sponsored activities. We are
following all guidelines to minimize the risk of transmission.
I knowingly and willingly consent to participation during the COVID-19 pandemic. I understand that the COVID-19
virus has a long incubation period during which carriers of this virus may not show symptoms and may still be highly
contagious.
I understand that – due to the frequency of other participants, the characteristics of the COVID-19 virus, and the
characteristics of youth participation– I have an elevated risk of contracting the COVID-19 virus simply by being
present.
Please Initial:

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* 4. I confirm that I am not presenting any of these COVID-19 symptoms:
● Fever
● Shortness of breath
● Dry cough
● Runny nose
● Sore throat

Please Initial:

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* 5. I confirm that I have not been in contact with a person who has been diagnosed with COVID19 within the past 14
days.
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. And the
CDC recommends social distancing of at least six feet for a period of 14 days to anyone who has recently traveled. I
verify that I have not traveled inside or outside the United States in the past 14 days.

Please Initial:

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* 6. Said document does not supersede or replace any other waivers or indemnification agreements
previously signed for said facility and shall be read in conjunction. Additionally, by signing this
agreement you agree to waive any and all legal claims you may have against GBSA and agree
to hold harmless or indemnify should any such claims be pursued.  

Parent Electronic Signature:

T