WAIVER OF LIABILITY & MEDICAL TREATMENT CONSENT
By signing 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.Â
PHOTO RELEASEÂ
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.Â
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.Â
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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.Â
