Image by Adi Goldstein

pARTY wAIVER

Must be completed for each non-member attending a birthday party @The PC 

Waiver of Liability for Birthday Parties
I would like more informato about:
POOL & ROCKWALL POLICIES:  
  • Only proper swimsuits allowed in our pools.  
  • Children under the age of 6 years are not allowed to swim in The Pacific Clinic pool unless a parent or guardian is in the water with them. 
  • PC does not provide towels.  Please bring your own towel. 
  • Children must fit into a full-body harness safely in order to climb the “Rock” 
WAIVER OF LIABILITY 
The Pacific Clinic Policy:  The Pacific Clinic shall not be held liable for any injury incurred in any exercise class, or any other use of equipment or facilities of the Clinic.  The Pacific Clinic shall not be liable for any lost or stolen goods that may have been left or taken from the facility. Guests are encouraged to lock their valuables in a locker.  Guests under 18 must have a parent or guardian sign the release waiver before using the Clinic or participating in a birthday party. 
Release Waiver:  I, on behalf of myself and/or a parent or legal guardian of said minor child, understand and acknowledge that I possess full knowledge of the risk(s) of physical injury that is associated with such activities that are present in a Clinic environment and expressly agree to assume such risk(s) as well as assume and pay all medical and emergency expenses.  “I have read and agree to the above release waiver.” 
Rock Wall Waiver:  I am fully aware that rock climbing and related activities are potentially hazardous activities and I or my child is voluntarily participating in these activities with knowledge of the danger involved, and hereby agree to accept any and all risks of injury or death. 
I agree that I will not sue, or otherwise make any claim against The Pacific Clinic, or their employees, agents, sponsors, or contractors, for injury or damage resulting from the negligence or other acts, however, caused, by myself, any employee, agent, or contractor of the above-listed individuals or organizations as a result of my participation in any and all climbing activities and climbing programs involving The Pacific Clinic.   
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I also hereby agree to release, discharge, hold harmless and indemnify The Pacific Clinic as described above, their employees, agents, or contractors, from all actions, claims or demands, for myself, my heirs, or personal representatives, for injury or damage resulting from my participation in a rock-climbing activity or use of The Pacific Clinic and SplashDown Cove.  The terms of this release shall also be binding as to any other persons, or members of my family, including any minors, who may accompany me.  I am over the age of eighteen years and have read, initialed, and signed this Release.  Below is my signature, or am legally entitled to sign for the below listed minor as legal guardian.  
The Pacific Clinic (“the Clinic”) has put in place preventative measures to reduce the spread of COVID-19; however, the Clinic cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Clinic could increase your risk and your child(ren)’s a risk of contracting COVID-19. The Pacific Clinic follows CDC (Center for Disease Control) guidelines of social distancing and sanitation for the protection of all people who enter our facility.
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If I have any of the following, I understand I am not allowed to enter the facility and I agree to abide by these expectations:
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  • If I have been diagnosed with COVID-19 and have not recovered or am still within the required 14-day quarantine.
  • If I had symptoms of COVID-19 within the last 24 hours. Or if I experience the following: a fever, cough, shortness of breath, sore throat, loss of taste or smell, vomiting or diarrhea, or any other symptoms, I will stay home.
  • If I had contact with a person who has or is suspected to have COVID-19 within the last 14 days.
  • I agree to not enter the facility if I am sick. I will cover my cough or sneeze with a tissue and wash my hands. I will not touch my eyes, nose, or mouth and will practice good hygiene.
  • I will abide by social distancing – stay at least 6 feet away from other people.
  • I will wear a face covering as required by the State mandates this is subject to change as we move out of the various phases.
  • I agree to wash my hands upon entrance to the Clinic (if mandated) and frequently with soap and water for at least 20 seconds. Or use hand sanitizer.
  • I agree to wipe off equipment before and after each use.
 
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Clinic and that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Clinic may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Clinic employees, volunteers, and program participants and their families.
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I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Clinic, its owners or employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after my participation in any Clinic usage, lesson, class, or program.
 
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS.  I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE ABOVE LISTED INDIVIDUALS AND GROUPS AND/OR THEIR AGENTS AND CONTRACTORS, AND I SIGN OF MY OWN FREE WILL. 

Your waiver was successfully submitted! Thank you.

Next step? Party Time!