FMCA CHAPTER WAIVER AND RELEASE OF
LIABILITY FOR EXPOSURE TO COVID-19
The FMCA Chapter listed below (“Chapter”) is scheduling a rally of Chapter members and guests on the date listed below (the “Rally”). The undersigned individual (“Attendee”) wishes to attend the Rally and participate in the planned activities. As a condition of being able to attend the Rally, the Attendee acknowledges the warnings below, agrees to comply with the requirements set forth below, and provides a release of liability as set forth below.
Adherence to Social Distancing Practices. As a condition of attending the Rally, the Attendee agrees to comply with applicable social distancing requirements that will be distributed to attendees of the Rally. Attendee further agrees to follow the instruction of Rally coordinators regarding interaction with others and safe distancing practices.
Prohibitions on Attendance. Attendee acknowledges and agrees that no person may enter or attend the Rally if that person has or or has had in the past fourteen (14) days a cough, fever, shortness of breath, difficulty breathing, flu-like symptoms, gastrointestinal upset, or experienced a loss of taste or smell. Attendee certifies that the Attendee does not have or have had in the past fourteen (14) days any of the above listed symptoms.
Advisory. All attendees to the Rally are advised that if they are age 65 or over or have any health risks such as asthma, heart problems, chronic lung or kidney disease, diabetes, compromised immune system, liver disease, or severe obesity, they are at a greater risk of serious illness or death if they contract COVID-19. Any individual with any of these ailments or conditions are advised not to attend the Rally.
Assumption of Risk. Regardless of adherence to health department requirements and recommendations as well as social distancing practices, there is a risk of COVID-19 exposure whenever an individual enters into a public space or building with other people. By attending the Rally, the Attendee acknowledges and agrees that the Attendee is assuming the risk of COVID-19 exposures.
Release of Liability. The Attendee hereby agrees to release and hold harmless Family Motor Coach Association, the Chapter, their respective officers, directors, employees, and agents from any and all illnesses, injuries, sickness, death, or other losses arising in any way from Attendee’s participation in the Rally, including, but not limited to, exposure to COVID-19.
Chapter Name:
Place of Rally:
Dates of Rally:
THE UNDERSIGNED HAS READ THE ABOVE WAIVER AND RELEASE, UNDERSTANDS THE RISKS POSED BY COVID-19, AND SIGNS THE WAIVER AND RELEASE VOLUNTARILY.
Attendee’s Name:
Signature:
Date:
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