Acknowledgement, Assumption of Risks Associated with Exposure to Coronavirus/COVID-19 and Release of Liability for Coronavirus/Covid-19 Related Claims Including Ordinary Negligence & Covenant Not to Sue.
I acknowledge the that the Coronavirus/COVID-19 is a contagious, highly infectious, life-threatening disease declared by the World Health Organization to be a global pandemic. I further acknowledge that the Centers for Disease Control and Prevention (CDC) and many state and local public health authorities still recommend practicing social distancing, specifically maintaining a six foot distance from anybody outside of my immediate household, and the use of masks and other facial coverings over one’s face and nose whenever possible. I further acknowledge that Israel Emergency Alliance/dba StandWithUs has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19 in compliance with local and state measures. I further acknowledge that Israel Emergency Alliance/dba StandWithUs cannot guarantee that despite their best efforts, including but not limited to encouraging all attendees to wear masks when practicable, I will not become exposed to or infected with the Coronavirus/COVID-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including but not limited to, Israel Emergency Alliance/dba StandWithUs officers, board members, employees, donors, volunteers, agents and representatives.
I voluntarily seek services provided by Israel Emergency Alliance/dba StandWithUs and acknowledge that by attending this event I voluntarily assume the risk that I and anyone I may come into contact with following the event may be exposed to or infected by the Coronavirus/COVID-19 and that such exposure or infection may result in personal injury, serious illness, permanent disability, and/or even death. I acknowledge that I must comply with all set procedures to reduce the spread while attending any Israel Emergency Alliance/dba StandWithUs event.
I attest that:
I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
I have not traveled internationally within the last 14 days.
I have not traveled to a highly impacted area within the United States of America in the last 14 days.
I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
I have not been diagnosed with Coronavirus/COVID-19. Alternatively, if I have been diagnosed with Coronavirus/COVID-19, I have been cleared as non-contagious by state or local public health authorities within the appropriate local guidelines.
I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold Israel Emergency Alliance/dba StandWithUs harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act, or that may otherwise arise in any way in connection with any services received from Israel Emergency Alliance/dba StandWithUs from exposure to or infection by the Coronavirus/COVID-19. I understand that this release discharges Israel Emergency Alliance/dba StandWithUs from any liability or claim that I, my heirs, or any personal representatives may have against Israel Emergency Alliance/dba StandWithUs including but not limited to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Israel Emergency Alliance/dba StandWithUs from exposure to or infection by the Coronavirus/COVID-19. This liability waiver and release extends to Israel Emergency Alliance/dba StandWithUs together with all Israel Emergency Alliance/dba StandWithUs officers, board members, employees, donors, volunteers, agents and representatives.