Covid 19 Liability Waiver - Basketball Vision

COVID-19 Waiver

Please fill out this form and submit it for training with Basketball Vision “BBV”. Thank you for your support and cooperation. Stay Safe & Stay Healthy.

1. Trainer is not liable or responsible for client if he/she gets injured during a session.

2. Client must notify Trainer an hour in advance if they need to cancel scheduled session for that day. If notified 45 minutes or less prior to scheduled session, client is still responsible to make payment for scheduled session. Unless it was a immediate death in the family, car accident, and/or client was rushed to emergency room, a scheduled session payment will not be waved.

3. When a client is a “no call no show” during a scheduled session, client is still obligated to pay for training session.

4. When a client is running late, they must notify Trainer 15 minutes prior to scheduled session. Time missed because of tardiness will not be added on the back end of the session. Example: for an hour session, if client is 15 minutes late, client only has 45 minutes available in the session.

5. Clients must bring water and/or Gatorade to replenish body during each session. Trainer is not obligated to provide drinks for players.

6. During inclement weather conditions at outdoor parks or outdoor facilities, if bad weather occurs before scheduled session or 15 minutes of a training session, session will be postponed or rescheduled to another day and time under the discretion of the Trainer and client.

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Name*

Phone*

Email*

Age

18 +

Under 18 Need Parent Consent

Students Name*

Consent*

I agree

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that Basketball Vision has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Basketball Vision can not guarantee that I will not become infected with the Coronavirus/Covid-19. 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, training staff, and other training clients and their families.
I voluntarily seek services provided by Basketball Vision and acknowledge that 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 while attending my appointment.

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 have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14 days.
* 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 diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious 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 and agree to hold Basketball Vision harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Basketball Vision. I understand that this release discharges Basketball Vision from any liability or claim that I, my heirs, or any personal representatives may have against the trainer with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Basketball Vision. This liability waiver and release extends to the training facility together with all owners, partners, and employees.

Today's Date

Customer/ Student Signature*

Parent / Guardian Signature*

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