COVID-19 Consent *
IN CONSIDERATION for being permitted to use the services and programs of The Louisville Leopard Percussionists, Inc. (LLP) and/or for my child/children listed above (Participating Children) to participate for any purpose, including but not limited to, observation or use of facilities or equipment affiliated with LLP,
Parent/Guardian listed above (I or Me), on behalf of myself and such Participating Children and any personal
representatives, heirs, and next of kin, hereby acknowledge, agree, and represent that I have carefully considered. My and Participating Children’s participation in LLP’s camp, understanding that there will be some shared equipment and facilities, and that I find and accept same as being safe and reasonably suited for the use or
participation by Me and Participating Children. On my own behalf and on behalf of Participating Children, I agree as
I acknowledge that novel coronavirus (COVID-19) infections have been confirmed throughout the United States, including in Louisville, KY. In accordance with the most recent guidance and protocols issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and the Kentucky Department of Health (KDH) for slowing the transmission of COVID-19, I hereby agree, represent, and warrant that neither I nor Participating Children shall visit or use the facilities, services, and programs of LLP within 14 days after (i) returning from highly impacted areas subject to a CDC Level 3 Travel Health Notice, (ii) being exposed to any persons returning from areas subject to a CDC Level 3 Travel Health Notice, or (iii) being exposed to any person who has a suspected or confirmed case of COVID-19. I understand that the CDC Travel Health Network is continuously updating the Travel Health Notices list and I acknowledge that I am aware of that list and the countries listed. I agree to check that list ( https://www.cdc.gov/coronaviurs/2019-ncov/travelers/index.html ) before using the facilities, services, and programs of LLP, on a daily basis if necessary. I agree, represent, and warrant that neither I nor Participating Children will visit or use the facilities, services, and programs of LLP if I or they (i) experience symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) have a suspected or diagnosed/confirmed case of COVID-19. I will notify LLP immediately if I believe that any of the foregoing access/use restrictions may apply.
LLP has taken certain steps to implement recommended guidance and protocols issued by public health agencies
for slowing the transmission of COVID-19, including, without limitation the access/use restrictions set forth above. I acknowledge and agree that LLP may change its procedures at any time based on updated guidance and protocols issued by public health agencies and I agree to comply with LLP’s revised procedures before using LLP’s facilities, services, and programs. I acknowledge and agree that, due to the nature of the facilities, services, and programs offered by LLP, social distancing of 6 feet among children and the instructors in this setting is not possible. I understand and appreciate both the known and potential dangers of using the facilities, services, and programs of LLP and I acknowledge that use thereof by Me and/or Participating Children may, despite LLP’s reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER LLP’S PREMISES FOR ANY PURPOSE, INCLUDING, BUT NOT LIMITED TO, OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY PROGRAM AFFILIATED WITH LLP, I AGREE TO THE FOLLOWING ON MY OWN BEHALF AND ON BEHALF OF PARTICIPATING CHILDREN (COLLECTIVELY, WE OR US):
WE RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE LLP, its directors, officers, employees, volunteers, and agents with respect to all liability to Me or Participating Children, and all personal representatives,
assigns, heirs, and next of kin of Me or Participating Children, for any loss or damage, and any claim or demands on account of any property damage or any injury to, or an illness or the death of, Me or Participating Children (or any person who may contract COVID-19, directly or indirectly, from Me or Participating Children) whether caused by the negligence, active or passive, of LLP or otherwise, while I or Participating Children are in, upon, or about the LLP premises or facilities, or LLP’s equipment, or participating in any program affiliated with LLP.
WE WILL INDEMNIFY AND SAVE AND HOLD HARMLESS LLP, its directors, officers, employees, volunteers, and
agents, and each of them, from and against any loss, liability, damages or costs they may incur, whether caused by the negligence, active or passive, or otherwise, while I or any Participating Child is in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with LLP. We understand and agree that LLP is not required to provide insurance to cover Me or Participating Children in the event I or they suffer illness, injury, death, property loss, or damage of any sort upon or about the premises or any facilities or equipment therein or as a result of participating in any program affiliated with LLP.
We acknowledge that use of LLP facilities and services, and participation in LLP programs, may involve inherent
danger and risk, including, without limitation, the risk of physical illness or injury, death, or property damage. WE
ASSUME FULL RESPONSIBILITY FOR, AND RISK OF, ILLNESS, BODILY INJURY, DEATH, OR PROPERTY DAMAGE to Me or Participating Children due to negligence, active or passive, or otherwise, while in, about, or upon the premises of LLP, and/or while using the premises or any facilities or equipment thereon or participating in any
program affiliated with LLP. We acknowledge that any illness or injuries that I or Participating Children contract or
sustain may be compounded by negligent first aid or emergency response of those released by this agreement and waive any claim in respect thereof.
This Agreement is intended to be as broad and inclusive a waiver and release as permitted by Kentucky law and if
any portion of it is held invalid, the balance shall continue in full legal force and effect.
I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER
OF LIABILITY, AND INDEMNITY AGREEMENT AND AGREE THAT NO ORAL REPRESENTATIONS,
STATEMENTS OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE.
I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM LLP IN CASE OF ILLNESS, INJURY, DEATH, OR PROPERTY LOSS OR DAMAGE, INCLUDING, FOR THE AVOIDANCE OF DOUBT AND WITHOUT LIMITATION, EXPOSURE TO COVID-19 AT ANY LLP FACILITY OR PROGRAM AND ANY ILLNESS, INJURY, OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF AND INDEMNIFICATION FOR ALL CLAIMS. I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF THE MINOR CHILD(REN) AND/OR LEGAL WARDS LISTED ABOVE, AND I REPRESENT AND WARRANT TO LLP THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT, AND TO WAIVE AND RELEASE SUCH CLAIMS, ON BEHALF OF SUCH MINOR(S).
I have read and understand the terms of this Assumption of Risk, Release and Waiver of Liability, and Indemnity Agreement and agree to its terms. I agree to this Assumption of Risk, Release and Waiver of Liability and Indemnity Agreement.