PUBLIC HEALTH and SOCIAL SERVICES
David Bayne, Director
Dr. Dimyana Abdelmalek, Health Officer                                                                                                                                                                                                                                                                                                                                                                                              
 

ASSUMPTION OF RISK AND WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19 

 

Coronavirus disease 2019 (COVID-19), has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious as is believed to spread mainly from person to-person contact. Thurston County Specialized Recreation has created new protocols and put in place preventative measures to reduce the spread of COVID-19; however, the County cannot guarantee that you will not become infected with COVID-19. Further, attending any program may increase your risk of contracting COVID-19, and may increase the risk of transmitting COVID-19 to others.

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By signing this agreement I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I, or my minor child, may be exposed to or infected by COVID-19 by participating in an event, program, activity offered through Thurston County Specialized Recreation.  Such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 during Thurston County Specialized Recreation may result from the actions, omissions, or negligence of myself and others, including, but not limited to, County employees, volunteers, and other participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself or my child, including, but not limited to, personal injury, disability, or death, illness, damage, loss, claim, liability, or expense, of any kind, that they or I may experience or incur in connection with participation in any event, program, activity offered through Thurston County Specialized Recreation. I hereby release, covenant not to sue, discharge, and hold harmless Thurston County, its employees, agents, and representatives, of and from any claims related to COVID-19, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I further agree to indemnify and hold harmless Thurston County and its employees, agents, and representatives from any claim that may arise from or in connection with my or my minor’s participation in any program offered through Thurston County Specialized Recreation, including claims related to COVID-19. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of Thurston County, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Thurston County Specialized Recreation activity.

 

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412 Lilly Rd. N.E., Olympia, Washington 98506-5132
(360) 867-2679  FAX (833) 499-1806  TDD (360) 867-2603 TDD (800) 658-6384

https://www.thurstoncountywa.gov/departments/public-health-and-social-services