Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Informed Consent and Acknowledgement
RELEASE OF LIABILITY FORM PARTICIPANTS AND SPECTATORS
In consideration of being allowed to participate in any way in the Women's National Gay Basketball Associations (WNGBA), events, and activities, the undersigned acknowledges, appreciates, and agrees that:
1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the Women's National Gay Basketball Associations, National Gay Basketball Associations, JLambda Basketball League, City of West Hollywood, West Hollywood Recreation, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leaser of West Hollywood Gym , used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
5) I do agree that“ Any and all commercial use or distribution of any visual (photography and video) footage from this private event is strictly prohibited without the expressed written consent from the Women's National Gay Basketball Association.
6) I also understand that the WNGBA does not allow participants to play under the influence of drugs and or alcohol.
I understand and agree that I am responsible for my use of adult beverages, marijuana, and other mind altering substances prior to playing in a game. I also understand that if I smell of alcohol or marijuana it is up to the discretion of the tournament director and the NGBA board to remove me from participation in the event until the tournament director and the NGBA board agree you are no longer under the influence.
7) (a) I pledge to support teammates, opponents, and individuals from all backgrounds and identities, fostering a spirit of unity and camaraderie.
8) (a) the novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization;
(b) COVID-19 is extremely contagious;
(c) the state of medical knowledge is evolving but COVID-19 is believed to be spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air;
(d) it is believed that an individual can be infected with COVID-19 without their knowledge and be asymptomatic and spread the disease to other persons;
(e) the exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19; (f) the circumstances regarding COVID-19 are changing from day to day and I am responsible for familiarizing myself with the most recent updates;
(g) NGBA cannot guarantee that I or anyone else will not become infected with COVID-19, including myself and my family;
(h) participation in NGBA Activities could INCREASE the risk to myself and my family of contracting COVID-19; and
(i) Evidence has shown that COVID-19 can cause serious and potentially life threatening illness and even death. I have read and understood the above warnings concerning COVID-19 and ACKNOWLEDGE the contagious nature of COVID-19 and FULLY ASSUME THE RISK that I may be exposed to or infected with COVID-19 by participating in NGBA Activities, and that such exposure or infection may result in SERIOUS PERSONAL BODILY INJURY, ILLNESS, PERMANENT DISABILITY AND/OR DEATH TO MYSELF AND/OR MY FAMILY. I further ACKNOWLEDGE AND FULLY ASSUME THE RISK that becoming exposed to or infected with COVID-19 may result from the actions, inactions, omissions and/or negligence of myself or others, including but not limited to THE RELEASEES NAMED BELOW. I UNDERSTAND AND FULLY ACCEPT AND ASSUME ALL of the foregoing risks related to COVID-19 and accept sole responsibility for any injury or illness that may occur. Further, I UNDERSTAND AND AGREE that this release includes any claims based on the actions, inactions, omissions and/or negligence of the RELEASEES named below, whether a COVID-19 infection occurs before, during or after participation in any NGBA Activity or Activities.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.