Statement/Photo/Video Consent and Release
I give my consent to Camp Fire Minnesota and its partnering organizations (i.e. funders and other supporting organizations) to use my image and likeness and/or any interview statements from me in videos, publications, advertising or other media activities (including the Internet and Social Media). This permission is given without expectation of compensation or other remuneration, now or in the future. Thank you for helping Camp Fire Minnesota show the great work we’re doing with youth in Minnesota. Your participation helps us share our story and develop relationships that support continued programming. This consent includes, but is not limited to: (a) Permission to interview, film, photograph, tape, or otherwise make a video reproduction of me and/or record my voice; (b) Permission to use my name; and (c) Permission to use quotes from the interview(s) (or excerpts of such quotes), the film, photograph(s), tape(s) or reproduction(s) of me, and/or recording of my voice, in part or in whole, in its publications, in newspapers, magazines and other media (including the Internet), and/or in mailings for educational and awareness.
COVID-19 waiver of liability
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization (“WHO”). COVID-19 is reported to be extremely contagious. It is believed that the virus can spread from person-to-person contact, through respiratory droplets produced when a person infected with the virus coughs or sneezes. It was also reported that the virus can spread by contact with contaminated surfaces and/or through objects. People reportedly can be infected and show no symptoms and still spread the disease. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and/or death.
Camp Fire Minnesota is providing programs which provides small groups the opportunity to reserve a space or rent a facility, utilize certain facilities, and partake in certain activities. Camp Fire Minnesota is providing access to its facilities in a manner consistent with CDC and State health and safety guidelines, which include, but are not limited to, providing enhanced sanitary services and requiring adherence to social distancing requirements. Camp Fire Minnesota cannot guarantee you [or your child(ren)] will not be exposed to, contracting, or spreading COVID-19 while utilizing our services or premises. It is not possible to fully prevent against the presence of the disease.
I understand that at check-in I will be asked to verify that I and my participating child[ren], a) have not tested positive for COVID-19 and/or have not had a suspected or diagnosed case of COVID19 within the past 30 days, and; b) am free of any symptoms which have been identified by the WHO and CDC as suggestive of having COVID-19.
I agree that I am responsible for following CDC and State recommendations regarding social distancing while at Camp Fire Minnesota properties. I agree I am responsible for following any rules, regulations and directives for use of Camp Fire Minnesota properties.
ASSUMPTION OF RISK: I have read the above and understand the risks concerning COVID19. I choose to accept the risk of contracting COVID-19 for myself and/or my participating child[ren].
WAIVER OF LIABILITY/INDEMNIFICATION: The undersigned, on his/her behalf and on behalf of such participating children, hereby releases, waives, discharges and covenants not to sue Camp Fire Minnesota, and its owners, directors, employees, staff and/or related entities (the “Indemnified Parties”) in connection with exposure, infection and/or spread of COVID-19 arising from, or related to utilizing Camp Fire Minnesota properties. I agree to indemnify and hold harmless the Indemnified Parties from any loss, liability, damages or costs the Indemnified Parties may incur, whether caused by negligence, active or passive, or otherwise, in connection with my, or my participating child[ren]’s, use of the Camp Fire Minnesota properties.
CHOICE OF LAW: I agree that the law of the State of Minnesota applies to this Waiver.
I have carefully read, fully understand and voluntarily agree this assumption of risk, and waiver of liability and indemnity agreement concerning COVID-19.