LEVITTOWN SEAFORD WANTAGH ATHLESTIC ASSOCIATION (LSW)
Player Covid-19 Wavier, Consent, Release of Liability
Coaches and Parents, please take the time to read this message entirely. It is vital that you have all this information. Levittown Seaford Wantagh Athletic Association (hereinafter LSW), pursuant to the laws of the State of NY and the Executive Order of Gov. Andrew Cuomo authorizing youth sports, including baseball to commence on July 6, 2020 to begin practicing, training and playing baseball again with the below precautions in place.
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. LSW has put in place preventative measures to reduce the spread of COVID-19; however, LSW cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending LSW practices, games, camps or events could increase your risk and your child(ren)’s risk of contracting COVID-19.
In light of the existing COVID-19 Public Health Emergency in New York State (“State”) LSW will implement and enforce State mandated social distancing requirements as well as comply with all other State and local guidelines applicable to the safe conduct of sports play during the COVID-19 Health Emergency.
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 LSW practices, games, camps or events 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 LSW practices, games, camps or events may result from the actions, omissions, or negligence of myself and others, including, but not limited to, LSW employees, coaches, volunteers, and program participants and their families.
Further, I attest that my child(ren) are healthy now and will be monitored by me, a parent, or a guardian before attending all LSW practices, games, camps or events each day and I will hold my child out if any such symptoms arise. A health motorization or check ensures and confirms that your child(ren) has not had these symptoms for 48 hour prior to each LSW practices, games, camps or events; fever, abnormal cough of any kind, shortness of breath, body aches, sore throat, or loss of taste and smell. I attest that my child(ren) has not knowingly been in close contact with anyone who is known to have or be symptomatic of the Covid-19 virus and has not traveled outside the US or to any of the present restricted travel states including Alabama, Arkansas, Arizona, Florida, North Carolina, South Carolina, Texas and Utah, been in contact with anyone who has traveled outside the US or with anyone who has travelled to the aforementioned states in the last 14 days
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 any LSW practices, games, camps or events that LSW or participation LSW programming (“Claims”).
On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Levittown Seaford Wantagh Athletic Association (LSW), its employees, agents, and representatives, coaches, assistant coaches and volunteers 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 LSW its volunteers, employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any LSW program.
I further expressly agrees that the foregoing ASSUMPTION OF RISK, RELEASE, WAIVER OF LIABILITY AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the laws of the State of New York and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect.
PARENT/GUARDIAN (FULL NAME)
I HAVE READ THIS WAIVER AND RELEASE COMPLETELY. I UNDERSTAND IT AND I AM SIGNING IT VOLUNTARILY. I certify that as parent/guardian of the athlete, player and or camp participant, I consent to his/her agreement to be bound by each of the terms and conditions in this waiver and release and age verification.
Player/Camper Name:
PARENT/GUARDIAN SIGNATURE:
Date: