You must sign this waiver before you may attend a dance:
WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
Eugene Folklore Society
In consideration of being allowed to participate in EUGENE FOLKLORE SOCIETY’s Contra Dance, I, for myself, my heirs, personal representatives, executor, or successors in interest, hereby release, waive, indemnify, and hold harmless EUGENE FOLKLORE SOCIETY from any and all claims or liability arising from my participation in this activity.
I understand and acknowledge that participation in contra dance at this time carries increased risk of exposure to the COVID-19 virus, which is highly transmissible and can cause severe illness, long-term health complications, and/or death. The virus is spread through person-to-person contact, through airborne droplets exhaled by an infected person, even without any apparent symptoms of infection. Eugene Contra Dance is an indoor activity involving physical exertion and close contact with many people and is therefore associated with greater risk of viral transmission than other common activities.
I further understand that transmission of the COVID-19 virus can be reduced by vaccination, wearing a well-fitted face mask, social distancing, and good hand hygiene. I acknowledge that, while vaccines are highly effective at protecting individuals against severe illness, hospitalization, and death resulting from COVID-19, vaccination does not provide complete protection from contracting and transmitting the virus. I understand that EUGENE FOLKLORE SOCIETY is following the mandates of appropriate governmental agencies in being allowed to conduct this event and is taking additional measures such as requiring attendees to provide proof of vaccination and wear a well- fitted face mask. I acknowledge that there exists risk of viral infection in spite of such measures.
I further acknowledge the inherent risks associated with Eugene Contra Dance as a physical activity. I confirm that I am sufficiently physically fit to participate and that there are no health-related reasons that preclude my participation in this activity.
I understand and appreciate the above risks inherent in this activity and assert that my participation is voluntary and that I knowingly assume all such risks.
In consideration of EUGENE FOLKLORE SOCIETY allowing me to participate in Eugene Contra Dance, I hereby certify:
- I assert that my participation in this activity is voluntary, that I understand and acknowledge the inherent risks, and that I voluntarily agree to assume all risks of disability, personal injury, accidents, illnesses (including death), and property loss arising from my participation
- I hereby release, waive, and discharge EUGENE FOLKLORE SOCIETY of any and all liability incurred in my participation
- I hereby indemnify, hold harmless, and covenant not to sue EUGENE FOLKLORE SOCIETY from any and all claims made as a result of my participation.
By signing below, I acknowledge that I have read the attached WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT and that I fully understand and voluntarily agree to its terms. If any portion of this agreement is declared invalid by a court, the remainder shall continue in full force and effect. I declare under penalty of perjury under the laws of the State of Oregon that I am eighteen (18) years of age or older and fully competent to sign this agreement. If signing on behalf of a participant under eighteen years of age, I am the participant’s parent or legal guardian; I hereby give my consent to my dependent’s participation and agree to the above terms on behalf of all persons who claim the participant as a dependent.
Printed Name/s of participant(s) ___________________________ Date _________________________________
Relationship ___________________________(self, parent)
Signature of participant/parent /guardian: ______________________________