Waiver of Liability

indicates a required answer

1. *	First Name

2. *	Last Name

3. *	Spouse's First Name (if no spouse please put N/A in both boxes)

4. *	Spouse's Last Name

5. *	Please Type in Your Address

6. *	Please list your home/work and cell numbers

7. *	Please type in your email address

8. *	Please type in and List all Children's Full Names - One Child per line

9. *

Allergies and Medical Conditions

BEECH understands that some members or their children have allergies or medical conditions. However, it is the sole responsibility of the parent/guardian to take care of their own or their child's allergies or medical condition while participating in BEECH events/activities/field trips, etc. BEECH can not guarantee an activity/event/field trip, etc. completely free of any specific allergen or safe for every medical condition. I/We understand that by clicking "Yes, I/We Understand and Agree" below that this is acting as our legal signature and we agree that the care and responsibility of our own or our children's allergies and medical conditions are solely our responsibility and understand that medical conditions and allergies are covered by the below waiver.

Yes, I/We Understand and Agree

10. *

Assumption of the Risk Relating to COVID-19

The Novel Coronavirus, COVID-19, was declared a worldwide pandemic by the World Health Organization in 2020. COVID-19 is extremely contagious and is believed to spread mainly from person to person through respiratory droplets when an infected individual coughs, sneezes, or speaks and may possibly also be transmitted via contaminated objects. Some people have COVID-19 but have no symptoms and therefore, may unknowingly spread it to others. COVID-19 is also thought to be contagious at least 2 days prior to symptoms appearing or a positive test. Evidence suggests that infection with COVID-19 may result in serious illness, injury, hospitalization, or death and may also cause long term illness resulting in debilitating, chronic or acute health conditions, infections, and deficits. As a result, government agencies at all levels and federal, state, and local health agencies make recommendations regarding social distancing, wearing masks, limiting indoor activities, avoiding large crowds and other measures to stay healthy and avoid COVID-19 infection. Sometimes these recommendations may change especially as cases in an area increase. COVID-19 is a virus and at this time there is no known cure but there are vaccines to help prevent the severity of the disease and antiviral treatments available.

BEECH Homeschool Community (hereinafter "BEECH") can not guarantee that you, your spouse, your child(ren), or other family members will not become infected with COVID-19. Further, attending activities, events, field trips, or meetings, etc. (hereinafter "Activities") with BEECH could increase your risk and that of your child(ren), spouse, or other family members for contracting COVID-19. BEECH is unable to provide any guarantee that children, parents, or their families will not be exposed to or infected by COVID-19 or any other illness/disease while attending BEECH Activities.

Furthermore, it is important to acknowledge and understand that BEECH does not own or control the venues where Activities may take place and therefore, can not guarantee what kind of health, safety, disinfection or sanitation protocols will be in place and followed at these venues to prevent the spread of COVID-19 or how much these venues will comply with CDC Guidelines. These venues are also public facilities and BEECH has no control over who else may be present at the facility where the BEECH Activity is being held. Warning - Under Georgia law, there is no liability for an injury or death of an individual entering these premises if such injury or death results from the inherent risks of contracting COVID-19. You are assuming this risk by entering these premises. You attend these activities AT YOUR OWN RISK.

By enrolling your family in and attending Activities with BEECH, you acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that you, your spouse, your child(ren) and/or any other family members may be exposed to or infected by COVID-19 which may result in severe illness, injury, hospitalization, death, or have long term financial or debilitating health consequences.

It is expected that Families, Parents, Students, Children, and other BEECH family members will follow the guidelines recommended by government agencies. Members are expected to follow the well child policy and NOT come to any BEECH Activities if demonstrating any signs or symptoms of COVID-19 or after known exposure to COVID-19 during the incubation/quarantine period or after a Positive COVID-19 test of a family member. However, BEECH has no way to know if a member has been exposed to COVID-19, has tested postivie for COVID-19, or is unwell and/or contagious with COVID-19 or any other illness/disease at the time that they attend an Activity, therefore; members and their families participate in BEECH Activities at their OWN RISK.

I/We have read and understood the above warning concerning COVID-19. I/We hereby choose to accept the risk of contracting COVID-19 for myself, my spouse, my child(ren) and/or other family members in order to participate in BEECH Activities. These services are of such value to me [my spouse and/or to my children and family,] that I/We accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to participate in BEECH Activities.

By clicking "Yes, I/We understand and agree" below my spouse and I are digitally signing the above Assumption of Risk and acknowledging that we understand and agree to the above Assumption of Risk for myself, my spouse, my child(ren), and our other family members. And that clicking the button "Yes, I/We understand and agree" below is my/our electronic signature which I/we am/are allowing to act as my/our legal signature for this form.

Yes, I/We Understand and Agree

11. *

Waiver of Liability and Hold Harmless Agreement for COVID-19

I/We, on behalf of myself, my spouse, and any child/children for whom I/We have the capacity to contract, hereby acknowledge and agree to the following:

1. The state of medical knowledge regarding COVID-19 is evolving, but the virus is believed to be extremely contagious. It is believed to be spread via respiratory droplets and also possibly from contaminated surfaces. People reportedly can be infected and show no symptoms, and can be contagious in the days prior to symptoms appearing and therefore spread the disease. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death along with possible long term health consequences and complications which may also cause a financial burden due to cost of treatment and loss of work.

2. I understand the hazards of the novel coronavirus (“COVID-19”) and am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding COVID-19. I acknowledge and understand that that the circumstances regarding COVID-19 are changing sometimes on a daily basis and that, accordingly, the CDC guidelines are regularly modified and updated and I accept full responsibility for familiarizing myself and my family with the most recent updates.

3. BEECH Homeschool Community cannot prevent you [or your spouse, child(ren) or other family members] from becoming exposed to, contracting, or spreading COVID-19 or any other illness or disease while participating in Activities, Field Trips, Events, or Meetings, etc. (Hereinafter known as "Activities") with BEECH Homeschool Community (Hereinafter known as "BEECH"). It is not possible to prevent the presence of the disease. Government Agencies recommend vaccination to help lessen the severity of illness should you contract COVID-19. Therefore, if you choose to participate in any Activities with BEECH, you may be exposing yourself, your spouse, your child(ren) or your other family members to and/or increasing your risk of contracting or spreading COVID-19.

4. Notwithstanding the risks associated with COVID-19, which I readily acknowledge, I and my family, hereby willingly choose to participate in Activities with BEECH.

5. I acknowledge and fully assume the risk of illness, death or chronic and acute health complications related to COVID-19 arising from participating in the Activities and hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE (on behalf of myself, my spouse and my child(ren) BEECH Homeschool Community, their owners, officers, directors, managers, officials, trustees, agents, volunteers, members or other representatives and assigns (the “RELEASEES”) from any liability related to COVID-19 which might occur as a result of my or my family's participation in the Activities.

6. I shall indemnify, defend and hold harmless the RELEASEES from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs and disbursements, whether of in-house or outside counsel and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, the exposure, spread and/or infection of COVID-19 or any other illness or injury.

7. It is my express intent that this Waiver and Hold Harmless Agreement shall bind any heirs, successors, assigns and representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. This Agreement and the provisions contained herein shall be construed, interpreted, and controlled according to the laws of the State of Georgia. I hereby knowingly and voluntarily waive any right to a jury trial of any dispute arising in connection with the agreement.

8. I hereby forever release and waive my right to bring suit against BEECH Homeschool Community and its owners, officers, directors, managers, officials, trustees, agents, volunteers, members or other representatives (the "Releasees") in connection with exposure, infection, and/or spread of COVID-19 related to participating in Activities. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease, property or economic losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

IN SIGNING THIS AGREEMENT, I/We ACKNOWLEDGE AND REPRESENT THAT I/we have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my/our own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I/we am/are at least eighteen (18) years of age and fully competent; and I/we execute this Agreement for full, adequate and complete consideration fully intending to be bound by same. By Clicking "YES, I/We agree and understand" below I and my spouse are digitally signing this agreement and acknowledge that we understand and agree to the Covid-19 Waiver of Liability and Hold Harmless agreement. And that clicking the button "Yes, I/We understand and agree" below is my/our electronic signature which I/we am/are allowing to act as my/our legal signature for this form.

Yes, I/We Understand and Agree

12. *

Waiver of Liability, Assumption of Risks, and Indemnity Agreement

WAIVER: In consideration of my child or ward or spouse or me being permitted to participate in any way in any and all activities of B.E.E.C.H. Homeschool Community (“BEECH”) at the residence of any Member or at any and all locations where such BEECH activities take place (collectively, the “Activities”), I, for myself, my spouse, my child and/or ward, my heirs, personal representatives or assigns, do hereby covenant not to sue, and release, waive, and discharge, BEECH, its directors, officers, staff members, volunteers, advisors, property owners, and/or agents, from liability and of and from any and all claims including the negligence or default of BEECH, its directors, officers, members, volunteers, advisors, property owners, and/or agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the Activities.

ASSUMPTION OF RISKS: Participation in the Activities carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from (1) minor injuries such as scratches, bruises, and sprains, (2) exposure to allergens or activities that may adversely affect medical conditions, (3) major injuries such as eye injury or loss of sight, joint or back injuries, broken bones or teeth, asthma or heart attacks, and concussions, to (4) catastrophic injuries including paralysis and death.

I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the Activities, which may include without limitation parties, picnics, BBQs, hiking, swimming, camping, field day, field trips, museums, plays, parks, recitals, parties, practices or other such activities. I hereby assert that my participation and/or the participation of my spouse, my children or wards is voluntary and that I knowingly assume and accept all risks. I also understand that I may participate in activities that are not sponsored or supported by BEECH but are private activities of Members and that I assume all risks associated with such private activities (“Non-BEECH Activities”).

INDEMNIFICATION AND HOLD HARMLESS: I also agree to INDEMNIFY AND HOLD BEECH, its directors, officers, members, volunteers, advisors, property owners, and/or agents, HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorneys’ fees, brought as a result of my involvement in the Activities or Non-BEECH Activities or both, and/or the involvement of my spouse, a minor child or ward of mine in the Activities or Non-BEECH Activities or both, in any location where Activities or Non-BEECH Activities or both are conducted, and of and from all claims which may hereafter develop or accrue to them on account of injury, loss or damage, which may be suffered by said minor or to any property, because of any matter, thing, or condition, negligence or default whatsoever, and to reimburse them for any such expenses incurred.

SEVERABILITY: The undersigned further expressly agrees that the foregoing waiver, and assumption of risks, indemnification and hold harmless, agreement is intended to be as broad and inclusive as is permitted by the law of the State of Georgia, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

ACKNOWLEDGMENT OF UNDERSTANDING: I have read this Wavier of Liability, Assumption of Risks, and Indemnity Agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

I further agree to accompany or have another adult accompany my minor child at all times while they are involved in any Activities on the premises of any Member, or at any other location, and acknowledge that I am fully and totally responsible for the above child at all times while he or she is participating in any Activities at BEECH or at the homes of Members of BEECH or at any other location.

I further agree that by clicking "Yes, I/We understand and agree" below I am stating that I/we have read, understand and agree to this Waiver of Liability for myself, my spouse and my children named on this form. And that clicking the button "Yes, I/We understand and agree" below is my/our electronic signature which I/we am/are allowing to act as my/our legal signature for this form for both myself, my spouse and our children/family.

Yes, I/We understand and agree