1.5 ASD COVID-19 Supplemental Waiver Of Liability (Wheelchair Soccer Players Only)


The Anchorage School District ("ASD") currently plans to allow sporting events or similar activities (herein referred to as "EVENT") to take place. In consideration of being permitted to compete, officiate, observe, work, or participate in such an EVENT, I, for myself and my student, agree to the following:

  1. I affirm neither I, nor my student, nor anyone in my immediate household, including the actual participant(s) in the EVENT, have tested positive, been diagnosed with, demonstrated any symptoms of, or have in any way been exposed to any communicable diseases, including the novel corona virus known as COVID-19 and/or any mutation or variation thereof ("COVID-19") within the past ten (10) days;

  2. I acknowledge that I am aware that by entering the premises and participating in the EVENT that there are risks to me and my student of being exposed to COVID-19. I am also aware such an exposure can occur directly or indirectly. If I, my student, or anyone in my immediate household has previously tested positive for COVID-19, I hereby agree to disclose this fact to ASD. I, on behalf of my student, will also make sure that the "Return to Play" form provided by ASD is completed and ensure my student complies with all protocols put in place to allow for a gradual return to participation;

  3. I understand certain individuals are more susceptible to becoming seriously ill if they contract COVID-19, including people over the age of 65, people with serious underlying health conditions, including high blood pressure, chronic lung disease, diabetes, obesity, asthma, and those whose immune systems are compromised. I understand if I, or my student, including the actual participant(s) in the EVENT, fall within one or more of these catagories, there is a greater risk. I further understand COVI D-19 affects the respiratory system and may also affect the heart, which could include long term consequences, including Mvocarditis which is an inflammation of the heart muscle. This inflammation may remain undetected for months after having COVID-19 and is one of the leading causes of sudden cardiac arrest in athletes in the United States.

  4. I understand while ASD strives to maintain everyone's safety at all EVENTS, ASD cannot eliminate all risks. ASD's staff may be negligent or make mistakes, when trying to eliminate or mitigate the risks, including the risks of contracting COVID-19. By signing this Waiver, ASD asks you (and anyone that could legally stand in your place) to ASSUME ALL RISKS associated with you or your studnet's involvement in the EVENT;

  5. I hereby voluntarily agree to RELEASE, WAIVE, DISCHARGE, and COVENANT NOT TO SUE ASD and/or its officers, directors, and employees; the Anchorage School Board; and any individuals, companies, or associations having anything to do with the EVENT, including promoters, participants, officials, and owners of the premises where the EVENT takes place (hereinafter referred to as "Releasees"). By signing this document, RELEASEES WILL BE RELEASED FROM ANY AND ALL LIABILITY for any and all loss or damage whether caused by the negligence of the Releasees or otherwise; and

  6. I hereby agree to INDEMNIFY AND HOLD HARMLESS the Releasees from any loss, liability, damage, or cost (including reasonable attorney's fees) they may incur arising out of or related to my illness or death, or the illness or death of my studnet, including the actual participant(s) in the EVENT, whether caused by the negligence of the Releasees or otherwise.



Signee Information

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.