Youth Waiver: Borough of Northvale

 

BOROUGH OF NORTHVALE
BERGEN COUNTY, NEW JERSEY116 Paris Avenue  Northvale, New Jersey 07647201-767-3330 - 201-767-9631 (fax)
WAIVER AND RELEASE     I,
I desire to participate in certain sports programs (“Organized Sports Program”) utilizing the Borough of Northvale’s fields and recreation spaces.




I AM AWARE AND UNDERSTAND THAT IN LIGHT OF THE DANGERS POSED BY COVID-19 PANDEMIC, ON  MARCH 9, 2020 GOVERNOR MURPHY ISSUED EXECUTIVE ORDER 103 DECLARING A PUBLIC HEALTH EMERGENCY AND THEREAFTER GOVERNOR MURPHY ISSUED SUBSEQUENT ADMINISTRATIVE ORDERS, INCLUDING EXECUTIVE ORDER 148, PROHIBITING ORGANIZED OR CONTACT SPORTS IN OUTDOOR GATHERINGS. I AM FURTHER AWARE THAT PURSUANT TO EXECUTIVE ORDER 149, ORGANIZED SPORTS ARE PERMITTED TO RESUME AS OF JUNE 22, 2020 SO LONG AS THEY REMAIN OUTDOORS, they do not involve person-to-person contact or routinely entail individuals interacting within six feet of one another.   I AM FURTHER AWARE THAT THE COVID-19 PANDEMIC HAS BEEN DECLARED BY THE WORLD HEALTH ORGANIZATION, CENTER FOR DISEASE CONTROL AND OTHER PUBLIC HEALTH AGENCIES AS HIGHLY CONTAGIOUS. I ACKNOWLEDGE THAT I AM AWARE OF THE PUBLIC HEALTH EMERGENCY CAUSED BY THE COVID-19 PANDEMIC, I AM ELECTING TO PARTICIPATE  AT MY OWN RISK AND  ASSUME RESPONSIBILITY FOR FOLLOWING AND ADHERING TO ALL SAFETY PROTOCOLS PUT IN PLACE THROUGH EXECUTIVE ORDER, THE SPORTS PROGRAM AND THE BOROUGH IN FURTHERANCE OF THE EXECUTIVE ORDERS. I AM PARTICIPATING IN THE ORGANIZED SPORTS VOLUNTARILY AND I HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DEATH, OR ILLNESS IN CONNECTION WITH MY PARTICIPATION AND THE COVID-19 PANDEMIC. I hereby expressly waive and release any and all claims, now known or hereafter known, against the Borough, its employees, agents, affiliates, and assigns (collectively, "Releasees"), on account of injury, death, or illness arising out of or attributable to participation in the Organized Sports, whether arising out of the negligence of the Borough or any Releasees or otherwise. I covenant not to make or bring any such claim against the Borough or any Releasee, and forever release and discharge the Borough and all other Releasees from liability under such claims.  
THIS AGREEMENT PROVIDES THE BOROUGH WITH YOUR ABSOLUTE AND UNCONDITIONAL CONSENT, WAIVER, AND RELEASE OF LIABILITY.  YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT.
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Parent or Legal Guardian
e - mail – boroughclerk@boroughofnorthvale.com or deputyclerk@boroughofnorthvale.com
Incorporated in 1916
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