Riverdale PTC Liability Release Form

  • PARTICIPANT ASSUMPTION OF RISK/WAIVER OF LIABILITY

    My participation in the Activity is voluntary. I understand that participation in this Activity may expose me to risks of injuries. Some of these risks are foreseeable, but some are unforeseeable.  Examples of risks include physical injury, emotional injury, property damage, economic loss, noneconomic loss, and deprivation of rights, privileges, and immunities. Some of these risks cannot be eliminated due to the nature of the Activity.  I understand that these risks could cause harm to me, my property, and other persons.

    I fully recognize the dangers inherent in this voluntary Activity, but I am willing to participate in the Activity. In consideration for providing me the opportunity to participate in the Activity, I voluntarily agree to waive and discharge any and all claims against the Riverdale PTC and release it from liability for all losses regardless of cause, including claims for any negligent actions of the District or its employees or agents, to the fullest extent allowed by law, for myself, my estate, my heirs, my administrators, my executors, my assignees, and my successors. I also agree to release, exonerate, discharge and Hold Harmless the District, its Board of Directors, the individual members thereof, and all officers, agents, employees, volunteers, and representatives from all liability, claims, causes of action, or demands, including attorney fees, arising out of injuries of any kind to me or to my property, or losses of any kind which may result from or in connection with my participation in the Activity, up to and including injuries stemming from the negligent actions of the District or its employees or agents. I further certify and represent that I have the legal authority to enter into this Agreement.

    In the event that I require emergency medical treatment while participating in the Activity, I authorize the District and its agents to secure the help of a medical services provider and to incur the expenses for medical services recommended by the medical services provider. I agree to provide for the payment of these expenses.

    This Agreement is intended to be as broad and inclusive as is permitted by law. If any provision or any part of any provision of this Agreement is held to be invalid or legally unenforceable for any reason, the remainder of this Agreement shall not be affected thereby and shall remain valid and fully enforceable.

  • COVID-19 AGREEMENT

    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 from person-to-person contact. While rules, guidance, and personal discipline may reduce this risk, the risk of serious illness and death does exist. The Riverdale PTC cannot completely mitigate the transfer of communicable diseases like COVID-19. Volunteering at or participating in Riverdale PTC sponsored events includes possible exposure to and illness, injury, or death from communicable diseases, including COVID-19.

    I attest that I am not experiencing any symptoms of illness such as fever, chills, cough, or shortness of breath. If I develop symptoms, I agree that I will decline volunteering opportunities with the Riverdale PTC and/or not participate in any Riverdale PTC activities. I acknowledge that I must follow the safety and hygiene protocols set forth by the Centers for Disease Control, Oregon Health Authority, and the Riverdale PTC.

    I further attest to the following:

    • I have not been diagnosed with COVID-19 without being cleared as non-contagious by a state or local public health authority
    • I have not been advised by a health care provider to self-quarantine due to concerns related to COVID-19 or another communicable disease
    • I will notify the Riverdale PTC if I receive a COVID-19 diagnosis, test positive for COVID-19, or am advised to self-quarantine due to concerns related to COVID-19 or another communicable disease
    • I will not participate in any the Riverdale PTC activities until 14 days has passed from my last potential exposure to COVID-19
    • I do and will follow the Center for Disease Control and Oregon Health Authority COVID-19 guidelines to the best of my ability (e.g., hand washing, physical distancing, wearing of face coverings)

    If I am volunteering for the Riverdale PTC I understand volunteering with the Riverdale PTC means that no compensation is expected in return for the services I provide, and that the Riverdale PTC will not provide any benefits typically associated with employment. I further acknowledge that I am responsible for my own insurance coverage in the event of illness or personal injury as a result of my volunteering for the Riverdale PTC.

    I understand that my participation in activities with the Riverdale PTC may involve activities that could be hazardous to me, including those which may expose me to communicable diseases. I fully understand and appreciate these risks that are inherent to my participation. I assume the risk of all bodily injury, medical treatment, illness, and/or death that may result from my participation in activities for the Riverdale PTC even if it results from the Riverdale PTC’s negligence or that of its employees or agents.

    I hereby release, waive, discharge, exonerate, and agree to indemnify and hold harmless the Riverdale PTC, its Board of Directors, the individual members thereof, and all officers, agents, employees, and representatives from any and all liability, causes of action, claims, demands, damages, expenses and compensation, including attorneys’ fees, fines or other costs arising out of any exposure to or illness or injury from a communicable disease, including COVID-19, which may result from or have any connection to my participation. I give this release to the fullest extent of the law, for myself, and my heirs, administrators, executors, successors and/or assignees.

    I certify and represent that I have the legal authority to waive, discharge, release, indemnify, and hold harmless the released parties.

  • I certify that I have read this document in its entirety and fully understand its contents. I agree to the Riverdale PTC Volunteer/Participant Assumption of Risk, Waiver of Liability & COVID-19 Agreement. I freely and voluntarily assume all risks of such hazards and notwithstanding such, release the Riverdale PTC from all liability for any loss regardless of cause, and claims arising from my participation with the Riverdale PTC.