COUNTY OF SANTA CLARA DEPARTMENT OF PUBLIC HEALTH REQUIREMENTS RELATED TO CORONA VIRUS/COVID-19 We continue to adhere to recommended COVID-19 protocols. As we continue to expand our services and at the time of publication. All participants, by signing this release, agree to follow the following directives: 1. Santa Clara County currently requires that masks be worn indoors, regardless of vaccination status. 2. Masks are not mandatory outdoors, though may be worn as tolerated. 3. Participants are encouraged to maintain a minimum 3 feet of distance from others. 4. Stay home if you are sick. If exhibiting symptoms, please refrain from attending programs until symptoms subside, participant is seen by a medical professional, or after receiving negative COVID-19 testing results. • Exceptions may be made for very young children, people for whom face coverings are medically inadvisable, or where communication is affected by or with people who are hearing-impaired. • Programs are responsible for maintaining enrollment and attendance records, and should verify families’ compliance with these restrictions to the extent feasible. See your registration for program specific protocols or contact us. To view up-to-date Santa Clara County information, visit: https://covid19.sccgov.org/home. ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO CORONA VIRUS/ COVID-19 The novel corona virus, 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. Los GatosSaratoga Community Education and Recreation (“LGS Recreation”) has created new protocols and put in place preventative measures to reduce the spread of COVID-19; however, LGS Recreation cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending any program may increase your child(ren)s risk of contracting COVID-19. LGS Recreation’s programs by nature involve interaction between and among participants and agency staff, as well as potential interaction between and among parents who are dropping off their children and/or observing the program. 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, and/or transporting my children to, LGS Recreation programs, activities, or events, and of the named perils listed below. I understand that the risk of becoming exposed to or infected by COVID-19 at LGS Recreation programs, activities, or events may result from the actions, omissions, or negligence of myself and others, including, but not limited to, LGS Recreation employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any and all named perils and/or 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, my child(ren), or others, may experience or incur in connection with my child(ren)’s attendance at LGS Recreation programs. On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless LGS Recreation, 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 to the above named perils in connection with my child(ren)’s attendance at LGS Recreation programs. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of LGS Recreation, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any LGS Recreation program. Signature of Parent/Guardian Date Print Name of Parent/Guardian Participant Name 2 View Expanded Descriptions and Register Online at www.LGSRecreation.org Questions? 408-354-8700
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