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Adult Drop-in

$15.00Price
  • WAIVER OF LIABILITY & MEDICAL TREATMENT CONSENT
    By accepting this Liability Waiver, I hereby release Page Youth Center and its employees, sponsors, officers, and volunteers from any liability arising from my and my child’s participation in activities that take place at the Page Youth Center or its programs. In the event of illness or injury, I hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary in the best judgment of the attending licensed physician, surgeon, or dentist and performed by or under the supervision of a licensed physician or surgeon. I hereby authorize any hospital that has provided treatment to the minor(s) named on this form to surrender physical custody of such minor to the Page Youth Center representative. This authorization is effective until December 31, 2024, unless revoked in writing. IT IS THE INTENTION OF THE UNDERSIGNED, BY THIS INSTRUMENT, TO EXEMPT AND RELIEVE THE RELEASEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY LOSS OR DAMAGE, AND WRONGFUL DEATH CAUSED BY NEGLIGENCE. The undersigned acknowledges that he/she is aware that by signing this waiver, release and indemnity Agreement, he/she KNOWINGLY AND VOLUNTARILY WAIVES ALL RIGHTS TO ASSERT ANY AND ALL CLAIMS WHATSOEVER FOR ANY PERSONAL INJURY, PROPERTY LOSS OR DAMAGE, OR WRONGFUL DEATH AGAINST THE RELEASEES. 

     

    PHOTO RELEASE 

    I understand that Page Youth Center representatives may photograph or video activities at the Page Youth Center. By signing this form, I authorize Page Youth Center to use on their website or publish in articles or ads any photographs or video clips taken by PYC representatives that may show my or my child’s image in the context of events and activities I/we participated in at PYC. 

     

    COVID-19 NOTIFICATION & LIABILITY RELEASE
    The novel coronavirus, COVID-19 (SARS-CoV-2), is a contagious virus spread by person-to-person contact primarily through droplets and aerosols expelled through breathing, coughing, and sneezing by people who are infected. People reportedly can be infected, show no symptoms for 2 - 14 days after exposure, and spread the disease before developing symptoms (‘presymptomatic’), or spread the disease while not developing any symptoms (‘asymptomatic’). The exact methods of spread and contraction are being studied. Evidence has shown that COVID-19 and its variants can cause serious and potentially life-threatening illness and even death.

     

    The Page Youth Center has implemented safety precautions to minimize the risk of transmitting the virus in accordance with current recommendations from the Santa Barbara County and State of CA Health Departments and the U.S. Center for Disease Control (CDC).  These precautions include:

    • Touchless sanitizing stations located in the lobby and restrooms

    • Regular cleaning and sanitizing of common areas, touch-points and equipment

    • Commercial HEPA air filtration units used inside the gym facility and administrative offices

    • Single-use masks are made available in the lobby for anyone who needs one

     

    Consistent with Federal, State, and local guidance, unvaccinated visitors are required to wear a face covering at all times indoors and maintain physical distance (6+ feet) from others not in the same household. By entering Page Youth Center without wearing a face covering, you are self-attesting to being fully vaccinated against the COVID-19 virus. 

     

    Kids who are not vaccinated should wear masks indoors except when playing or practicing on the court. They should wear masks on the sidelines and in common areas indoors. Single-use masks are available if needed. 

     

    Page Youth Center cannot prevent you or your child(ren) from becoming exposed to, contracting or spreading COVID-19 while utilizing Page Youth Center’s facilities. It is not possible to prevent the presence of the disease. Therefore, if you choose to utilize Page Youth Center’s facilities you may be increasing your risk of contracting or spreading COVID-19.

     

    ASSUMPTION OF RISK: I have read and understand the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to utilize Page Youth Center’s facilities. The use of these facilities is of such value to me and/or to my children that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to utilize Page Youth Center’s programs and facilities.

     

    WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against Page Youth Center and its Board members, Directors, Managers, Officials, Trustees, Agents, employees, affiliates or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to using Page Youth Center facilities. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

     

    AGREEMENT TO ABIDE BY SAFETY PROTOCOLS: I have been provided with a copy of Page Youth Center’s written safety protocols. I have read and I understand these safety protocols. I agree to comply -- and that my child(ren) will comply -- with the safety protocols. I acknowledge that if, at the sole discretion of Page Youth Center’s representatives, it is determined that I and/or my child(ren) are not fully complying with the safety protocols, I or my child(ren) may be precluded from further participation in Page Youth Center programs or activities. 

     

    COVID NOTIFICATION REQUIREMENTS: As a condition to the use of Page Youth Center’s facilities, I agree that if I, a family member in the same household, or my child(ren) receive a positive COVID-19 diagnosis, then I will notify the Page Youth Center management within 24 hours of receiving the diagnosis (positive test result) by sending email to aaron@pageyouthcenter.org within 24 hours of the diagnosis. I consent to allowing Page Youth Center’s representatives to notify employees and users (who may have been in proximity to the affected person) that a participant or parent tested positive for COVID-19, without identifying me or my child(ren) by name. Identity will be kept confidential. The goal is to minimize transmission.

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