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 Hope Haven has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Hope Haven cannot 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, volunteers, Hope Haven staff, and participants and their families.

I voluntarily seek services provided by Hope Haven 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 events at Hope Haven.

I attest that:

* I (or my child) 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 (or my child) have not traveled internationally within the last 14 days.

* I (or my child) have not traveled to a highly impacted area within the United States of America in the last 14 days.

* I (or my child) do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.

* I (or my child) have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities.

* I (or my child) am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

In consideration of Hope Haven allowing my participation in events hosted by Hope Haven under the terms set forth herein, I do agree, in behalf of myself and my child, to hold harmless and release Hope Haven , its owners, agents, employees, volunteers, officers, premises owners, insurers, and affiliated organizers from legal liability, for injury or losses of any economic and non-economic losses due to bodily injury, illness, death, property damage, sustained by me in relation to the premises and operations of Hope Haven.

As a parent, I agree to indemnify Hope Haven, its owners, agents, employees, volunteers, officers, premises owners, insurers, and affiliated organizers from any all claims or lawsuits filed on behalf of myself, my child or any member of my household for alleged negligence arising in any way out of the events hosted by Hope Haven, including the alleged inadequacy or failure of any protocols or safeguards relating to the Coronavirus/COVID-19.