Indemnification and Hold Harmless Agreement
Release: I and behalf myself and/or child who are listed in this application hereby release the Borough of Somerville and the Borough of Somerville Recreation Department from any and all liability from bodily injury, personal injury and/or property damage that may occur on premises or as a result of our participation in the Borough of Somerville Recreation program. The participant named in this application individually or through their parent or guardian, hereby agrees to protect, indemnify and hold harmless the Borough of Somerville, its officers, directors, employees, officials, volunteers, agents, subcontractors and affiliates (collectively referred to as “Indemnified Parties”) from and against any and all liabilities, losses, damages, costs, expenses (including attorney’s fees and expenses), causes of actions, suits and claims of any nature whatsoever. Such indemnification shall include but not be limited to, matters arising from, based upon, or relating to (a) Personal Injury or death to, or damage to or loss of property of, loss of use of property, to any person caused in whole or in part by the negligence of the Indemnified Party in connection with such indemnified Party’s involvement or participation in the aforementioned activity.
I hereby grant permission for myself and/or child as parent/guardian and on behalf of any other named person in this application, hereby authorize and consent to the use of his/her visual image by the Borough of Somerville and the Borough of Somerville Recreation Department for appropriate purposes, including but not limited to: still photography, videotape, electronic and print publications and websites. I give this consent with no claim for payment.
COVID-19: 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. It is believed that an individual can be infected with COVID-19 without their knowledge and be asymptomatic. The Borough of Somerville has put in place preventative measures to reduce the spread of COVID-19. However, the Borough of Somerville cannot guarantee that I/We or anyone else will not become infected with COVID-19, including my spouse, guests, unborn child or relatives. Participation in a Borough of Somerville sponsored athletic sports program (s), related activity or event or using the Borough of Somerville facilities, could increase the risk of contracting COVID-19. By signing this agreement I/We acknowledge the contagious nature of COVID-19 and VOLUNTARILY assume the risk that I/We may be exposed to or infected by COVID-19 by participating in a Borough of Somerville athletic sports program(s), related activity or event or by the use of Borough of Somerville facilities and that such exposure or infection may result in personal injury, illness, permanent disability, and death to myself, myself or others, including but not limited to, Borough of Somerville employees, volunteers and program participants. I/We understand and voluntarily accept and assume all the foregoing risks related to COVID-19 and accept sole responsibility for any injury or illness that may occur. Further I/We understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Borough of Somerville, its employees, agents, officers, volunteers and assigns, whether a COVID-19 infection occurs before, during, or after participation in any Borough of Somerville athletic sports program(s), related event or activity or by the use of facilities.