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Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 for Congregation Shir Ami

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly, but not solely, from person-to-person contact. As a result, federal, state and local governments and federal and state health agencies have made recommendations to help reduce the spread of COVID-19.

Congregation Shir Ami has put in place preventative measures in an attempt to reduce the spread of COVID-19; however, Congregation Shir Ami cannot guarantee that you and/or your child(ren)and/or your family will not become infected with COVID-19. Further, attending Congregation Shir Ami activities or events related to Congregation Shir Ami, including without limitation: religious services, educational programs, Congregation Shir Ami Religious School, and/or any other activity or event, whether the same take place on or off Congregation Shir Ami premises (“Congregation Shir Ami programs”), could increase the risk of you and/or your child(ren) and/or family contracting COVID-19.

By signing this Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 (“Waiver”), I, for myself, and on behalf of my child(ren) and/or family, acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that by my child(ren) and/or family attending Congregation Shir Ami Programs, I and/or my child(ren) and/or family may be exposed to and infected by COVID-19, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Congregation Shir Ami may result from the actions, omissions, negligence, or gross negligence of me, my child(ren) and/or family and others, including, but not limited to, Congregation Shir Ami employees, volunteers, and Congregation Shir Ami Program participants and their families.

I, FOR MYSELF, AND ON BEHALF OF MY CHILD(REN) AND FAMILY VOLUNTARILY AGREE TO ASSUME ALL OF THE FOREGOING RISKS AND ACCEPT SOLE RESPONSIBILITY FOR ANY INJURY TO ME AND MY CHILD(REN) AND FAMILY (INCLUDING, BUT NOT LIMITED TO, PERSONAL INJURY, DISABILITY, AND DEATH), ILLNESS, DAMAGE, LOSS, CLAIM, LIABILITY, OR EXPENSE, OF ANY KIND, THAT I OR MY CHILD(REN) OR FAMILY MAY EXPERIENCE OR INCUR IN CONNECTION WITH MY CHILD(REN)’S OR FAMILY’S ATTENDANCE AT CONGREGATION SHIR AMI PROGRAMS (“CLAIMS”), HOWEVER CAUSED AND WHETHER CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OR GROSS NEGLIGENCE OF THE RELEASED PARTIES (AS HEREAFTER DEFINED).

I, FOR MYSELF, AND ON BEHALF OF MY CHILD(REN) AND FAMILY, HEREBY RELEASE, COVENANT NOT TO SUE, DISCHARGE, AND HOLD HARMLESS CONGREGATION SHIR AMI, ITS TRUSTEES, DIRECTORS, OFFICERS, EMPLOYEES, VOLUNTEERS, AGENTS, AND REPRESENTATIVES (“RELEASED PARTIES”), FROM THE CLAIMS, INCLUDING ALL LIABILITIES, CLAIMS, ACTIONS, DAMAGES, CAUSES OF ACTION, COSTS OR EXPENSES OF ANY KIND ARISING OUT OF OR RELATING THERETO, HOWEVER CAUSED AND WHETHER CAUSED IN WHOLE IN PART BY THE NEGLIGENCE OR GROSS NEGLIGENCE OF THE RELEASED PARTIES, AND WHETHER A COVID-19 INFECTION OCCURS BEFORE, DURING, OR AFTER PARTICIPATION IN ANY CONGREGATION SHIR AMI PROGRAMS.

By my signature below, I agree, acknowledge and consent that this Waiver is fully enforceable, and is binding upon me and my child(ren)’s legal representatives, family, heirs, administrators, guardians, executors, successors and assigns. This Waiver is irrevocable and is binding immediately upon execution and cannot be modified, amended or limited unless agreed upon in writing by me and CONGREGATION SHIR AMI. In the event any provision or part of this Waiver is found to be invalid or unenforceable, only that particular provision or part so found, and not the entire Agreement, will be inoperative.

By executing this Waiver, I further affirm that to the best of my knowledge (i) that neither I nor any Participant listed below currently has COVID-19, has tested positive for COVID-19 and not been told by a licensed medical doctor that he or she no longer pose a risk of infecting others, or has had COVID-19-like symptoms within the fourteen (14) days immediately preceding date of my execution of this instrument, and (ii) that neither I nor any Participant listed below has been in the presence of any person who we knew or had reason to believe at the time of such encounter had COVID-19, had tested positive for COVID-19 within such fourteen (14) day period, or who evidenced COVID-19-like symptoms within such fourteen (14) day period. Neither I nor any Participant listed below will attend any CONGREGATION SHIR AMI Program if I or any Participant listed below on the day of such Program have COVID-19, have prior thereto tested positive for COVID-19 and have not been told by a licensed medical doctor that I or such Participant no longer pose a risk of infecting others, or I or any such Participant have had COVID-19 symptoms within fourteen (14) days immediately preceding the date of the CONGREGATION SHIR AMI Program. Additionally, neither I nor any such Participant will attend any CONGREGATION SHIR AMI Program if any of us have been, within fourteen (14) days immediately preceding the date of the CONGREGATION SHIR AMI Program, in the presence of any person who we knew or had reason to believe at the time of such encounter had COVID-19, had tested positive for COVID-19 within such fourteen (14) day period, or who evidenced COVID-19 like symptoms within such fourteen (14) day period. In addition, it is understood that this Waiver is a living document and that it shall apply to factors existing at the time of execution and also to any and all situations that may occur hereafter. I agree on my own behalf and that of all Participants listed below to be bound by all provisions of this Waiver without need for execution of any further instrument. I will also contact CONGREGATION SHIR AMI if any Participant listed below becomes ill or tests positive for Covid19 within 7 days after attending a CONGREGATION SHIR AMI Program.

This Agreement shall be governed by and construed in accordance with the Texas law, without conflict of law doctrines.

I agree to follow any rules put in place by Congregation Shir Ami and the most current health protocols prescribed by the Governor, local officials, the U.S. Centers for Disease Control and Prevention, and the Texas Department of State Health Services at all times attending Congregation Shir Ami activities or events related to Congregation Shir Ami. Failure to do so may result in my removal from the activity or event. Additionally, by executing this Waiver, I acknowledge that I have read the foregoing and fully understand the terms and consequences of the Waiver.
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Mon, December 6 2021 2 Tevet 5782