RELEASE OF CLAIM FORM

RELEASE OF ALL CLAIMS : AMPED IN THE PARK

Note:
This Release of All Claims must be signed, in order to be allowed to participate in the event.

City of Woodstock, Georgia Release of All Claims:
This indenture witnesseth that in return for the City of Woodstock’s allowing the undersigned to participate in any City Event, the undersigned hereby acknowledges that he/she is aware of the nature of the activity and the potential for physical injury associated with the activity. Nonetheless, in return for the City’s accord and satisfaction, for the undersigned, my heirs, executors, administrators and assigns, I forever release and discharge the City of Woodstock, Georgia, its officers, employees, servants, and agents from any and all manner of actions, causes of actions, claims and demands, damages, costs, suits, debts, accounts, promises, trespasses, judgments, expenses, and loss of service, both known or unknown, suspected or unsuspected, whatsoever in law or in equity, already sustained or that the undersigned may hereafter sustain, in consequence of or relating to the activity, from the beginning of time forward. I hereby declare that this release is being given voluntarily, and that no representations about the nature and extent of the said damages made by any attorney or agent of the party hereby released, nor any representations, regarding the nature and extent of legal liability or financial responsibility of the party hereby released, have induced me to enter into this release. The undersigned hereby acknowledges receipt of a copy of this release before signing it, and further represents that if he/she is signing in a representative capacity, he/she has the authority to do so on behalf of his principal and to bind that principal. This release shall be construed, interpreted and enforced in accordance with the laws of the State of Georgia. Furthermore, this release constitutes the entire agreement between the parties relating to the subject matter hereof and supersedes all prior written and or oral agreements, understandings, or representations of the parties relating to the subject matter hereof and supersedes all prior written or oral agreements, understandings, or representations of the parties relating to the same subject matter.

Assumption of Risk and Waiver of Liability Relating to Coronavirus/COVID-19:

The City of Woodstock, Georgia (City) has put in place preventative measures to mitigate the spread of COVID-19 or any other disease; however, the City cannot guarantee that anyone you are legally responsible for or yourself will not become infected with COVID-19 or any other disease when participating in a City sponsored activity or utilization of a City facility. Further, attending City sponsored activities could potentially increase risk of contracting COVID-19 or any other disease.

By signing this agreement, I acknowledge the Contagious nature of COVID-19 and other diseases and voluntarily assume risk that those I am legally responsible for and myself may be exposed to or infected by COVID-19 or other diseases by attending city activities or utilization of City facilities and that such exposure or infection may result in personal injury, illness, permanent disability , and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 or other diseases at city activities and utilization of City facilities may result from the actions, omissions or negligence of myself and others, including but not limited to City employees, City officers volunteers, and program participants and their families.

I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury to those I am legally responsible for and myself, including, but not limited to personal injury, disability, death, Illness, damage, loss, claim, liability, or expense of any kind, that I or the party I am responsible for may experience or incur in connection with mine or his/her participation in City activities or utilization of City facilities. On my behalf and on behalf of those I am legally responsible for, I hereby release, covenant not to sue, discharge, and hold harmless and indemnify the City, its employees, officers, agents, and representatives, of and from any and all claims, including all liabilities, claims, actions, damages, costs or expense 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 the City, it’s employees, agents and representatives, whether a COVID-19 infection or other disease occurs before, during, of after participation in any City activity or unitization of a city facility.

I further agree to take all steps necessary to comply with the Executive and Emergency Orders issued by the World Health Organization (WHO), the Federal Government, the State of Georgia, and the City.

     Signature - By clicking this signature button, you are accepting the terms of the City of Woodstock, Georgia Release of All Claims and COVID-19 Assumption of Risk as accepted the date and time received by submittal of this form.

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