Do you currently have any medical risks that the D.C. Divas needs to be aware of?
E.g. Asthma, heart conditions, etc.
Emergency Contact Information
CORONAVIRUS/COVID-19 LIABILITY WAIVER
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommending practicing social distancing. I further acknowledge that the D.C. Divas Women’s Football team has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that the D.C. Divas Women’s Football team cannot guarantee that I will not become 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, D.C. Divas Staff, D.C. Divas players and members, and other participants and their families. I voluntarily seek services provided by the D.C. Divas Women’s Football team and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending any D.C. Divas Women’s Football team function or 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 and not yet cleared as non-contagious by state or local public health authorities. * 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 the D.C. Divas Women’s Football team 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 of the D.C. Divas Women’s Football team, or that may otherwise arise in any way in connection with any services received from the D.C. Divas Women’s Football team. I understand that this release discharges the D.C. Divas Women’s Football team from any liability or claim that I, my heirs, or any personal representatives may have against the D.C. Divas Women’s Football team with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to any services received from the D.C. Divas Women’s Football team. This liability waiver and release extends to the D.C. Divas Women’s Football team together with all staff, members, and partners.
I agree to the above waiver
WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
By agreeing to this form, I hereby declare my intent to play/participate for the D.C. Divas football team. IN CONSIDERATION of being permitted to participate in any way in activities sponsored or run by the D.C. Divas football team, (hereinafter referred to, generically, as the "Activities"), including, but not limited to, full contact football drills, scrimmages, practices, and games. I, for myself, my personal representatives, assigns, heirs and next of kin: 1. ACKNOWLEDGE, agree and represent that (i) I understand the nature of full contact football and that I am good health and in proper physical condition to participate in the Activities (ii) I do not suffer from any condition, illness or disability that would prevent or limit my participation in the Activities; and (iii) I have full coverage health and medical insurance that will cover me should I sustain any injuries while participating in any Activities for the entire active season. If my health and medical insurance lapses, I will inform the D.C. Divas of this and understand the D.C. Divas has full authority to not allow me to participate in any D.C. Divas Activity(s) up to dismissal from the D.C. Divas, until my health and medical insurance is in good standing. 2. FULLY UNDERSTAND that (i) full contact football drills, scrimmages, and games involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death(hereinafter referred to, collectively, as the "Risks"); (ii) that these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activities, the conditions in which the Activities take place, the negligence of the releases named below; and (iii) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activities. 3. HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE the D.C. Divas football team, their respective administrators, directors, agents, officers, members, volunteers and employees, other participants, sponsors, advertisers, and if applicable, owners and lessors or premises on which the Activities take place (each considered one of the releases herein) from all liability, claims, demands, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise, including negligent rescue operations; and I further agree that if, despite this Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement, I, or anyone on my behalf, makes a claim against any of the releases, I will indemnify, save, and hold harmless each of the releases from any litigation expenses, attorney fees, loss, liability, damage or cost which may occur as the result of such claim. I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.
I agree to the above waiver
Photographs and Video Consent, Waiver, Indemnity, and Release
Photographs, Videos, and Voice Recordings I, the undersigned, hereby grant permission to the D.C. Divas and its representatives to take photographs, videos, or any voice recordings at any D.C. Divas event or activity. I further grant to the D.C. Divas and their representatives the right to reproduce, use, display, and broadcast, distribute, and create derivative works of these images and recordings in any media now known or later developed. I acknowledge that the D.C. Divas owns all rights to the images, videos, and voice recordings. Waiver, Indemnity and Release< I hereby waive any right to inspect or approve the use of the images or recordings or any written copy. I further waive all moral rights. I also waive any rights to royalties or other compensation arising from or related to the use of the images, videos, or voice recording materials. I hereby release, defend, indemnity and hold harmless the D.C. Divas from and against any claims, damages or liability arising from or related to the use of the images, recordings or materials, including but not limited to claims of defamation, invasion of privacy, or rights of publicity or copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion or use in composite form that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution. I am 18 years of age or older and I am competent to contract in my own name. I have read this document before signing below, and I fully understand the contents, meaning and impact of this consent, waiver, indemnity and release. This consent, waiver, indemnity and release are binding on me, my heirs, executors, administrators and assigns.
I agree to the above waiver
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