2021 PENN MEDICINE GOLF OUTING
COVID-19 ACKNOWLEDGEMENT WAIVER & RELEASE AGREEMENT
By signing this form, I _____________________________, acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19, including any variant thereof, by attending or participating in the 2021 Penn Medicine Golf Outing (the "Event"), which Event is being sponsored by Princeton HealthCare System, d/b/a Penn Medicine Princeton Health (the "Sponsor") and will be held at the Metedeconk National Golf Club located at 50 Hannah Hill Road, Jackson, New Jersey 08527 (the "Club"). I understand that the specific risks of such exposure or infection include illness, personal injury, disability and death. I further understand that the risk of becoming exposed to or infected by COVID-19 at the Event may result from the actions, omissions, or, negligence of Sponsor, Club and/or others, including, but not limited to, the Sponsor's or Club's respective agents, officers, employees, volunteers and/or members, Event participants, Event spectators and members of the general public who are at the Club at the time of the Event. I acknowledge and agree that, although Sponsor and/or Club may have put in place preventive or mitigating measures to reduce the spread of COVID-19, neither Sponsor, nor, Club can guarantee the prevention of any transmission of, exposure to or infection with COVID-19, including any variant thereof. By signing this form and registering for the Event, I also acknowledge and agree to the following in regards to COVID-19 and my attending or participating in the Event:
- I will not attend or participate in the Event if I am or have been experiencing any symptoms of illness, including, but not limited to, a fever, cough, or, shortness of breath within seventy-two (72) hours of the Event.
- I will follow any COVID-19 safety and hygiene protocols that have been established by Sponsor and/or Club, as well as any and all applicable government orders and Centers for Disease Control and Prevention guidelines.
- By participating in the Event and signing this waiver, I confirm that, if I have travelled outside the State of New Jersey within ten (10) days of the Event, I have reviewed and complied with any international or interstate travel advisories that have been issued by the State of New Jersey that may apply to such travel.
- I will not attend or participate in the Event if I have been diagnosed with COVID-19 within 14 days of the Event, or, if I have not been medically cleared from COVID-19 symptoms after a known exposure to COVID-19 that occurred within 14 days of the Event.
- I will not attend or participate in the Event if individuals in the same household with me currently have COVID-19, or, are currently experiencing any symptoms of COVID-19, or, have had a known exposure to COVID-19 within 10 days of the Event.
I understand and agree to hold harmless Sponsor and Club, their respective affiliates, agents, employees, officers, volunteers, members and/or participants, for and from any and all liability, actions, damages, costs or expenses whatsoever relating to any claim that my participation in the Event resulted in my contracting or transmitting COVID-19.
Signature: _______________________ Date: __________________________