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I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the Center for Disease Control and many other public health authorities still recommend that I stay at home and/or practice social distancing.

I further acknowledge that ChoiceLIVE has put in place certain preventative measures to reduce the spread of the Coronavirus/COVID-19, but understand that no preventative measures can prevent infection and further that ChoiceLIVE cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I am fully aware that there are a number of risks associated when working on a live event, including without limitation, that I could contract Coronavirus/COVID-19, which could result in a serious medical condition requiring medical treatment in a hospital or could possibly lead to death. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others including, but not limited to, ChoiceLIVE and their respective visitors, patrons, vendors and family or other persons with whom any of the foregoing come into contact.

I am voluntarily participating in this event and acknowledge that, as a result, I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread of Coronavirus/COVID-19 when working with ChoiceLIVE.

I attest that:

  • I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
  • I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
  • I have not been tested for Coronavirus/COVID-19 and not yet received the results.
  • If I have been diagnosed with Coronavirus/Covid-19 I have, prior to this date, been cleared as noncontagious by state or local public health authorities.
  • I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

I hereby release, waive, relinquish, discharge, and agree to hold harmless ChoiceLIVE, along with their respective owner, officers, managers, employees, or other representatives, and their successors and assigns (collectively, the “Released Parties”), on behalf of myself, my heirs, and any personal representatives, from any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property, whether known or unknown, foreseen or unforeseen, that may be caused by any act or failure to act of the Released Parties, or that may otherwise arise in any way as a result of my working with ChoiceLIVE, and relating to, associated with or arising out of Coronavirus/Covid-19 (collectively, the “Damages”). I understand that this release discharges the Released Parties from any liability or claim that I, my heirs, or any personal representatives may have against the Released Parties with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, my exposure to, contraction of, complications due to or death from Coronavirus/Covid-19 as a result of participating in this event. I further promise not to sue the Released Parties, and agree to indemnify and hold the Released Parties harmless from any and all Damages resulting from my participating in.

Nothing in the foregoing or any other agreement shall limit or impair any rights or claims available to Employees under applicable law including, but not limited to, occupational safety and health rights, workers compensation claims, claims that arise as a result of gross negligence, willful misconduct or otherwise as exceptions to the exclusive remedy of applicable workers compensation law, and/or any claims which by law cannot be waived.

By clicking “submit” I intend to be legally bound by the foregoing.

SUBMIT

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