General Liability Waiver and Hold Harmless Agreement I represent that I am a legal, responsible adult. I represent and warrant that I am signing this document for myself and my children as to any facility usage by Millard Bulls Basketball to include, but not limited to, the weight room or any other workout facility indoor/outdoor. I am fully aware of the risks and dangers of such usage. I understand that the usage of the weight room and other workout facilities indoor/outdoor is voluntary, at my and my children’s own risk, and that the Millard Bulls Basketball is not responsible in any manner for my or my children’s usage or any personal injury or property damage to me or my children as a result of the usage of any such facility. I further understand that I am solely responsible for any personal injury or property damage caused by me or my children as a result of the usage of any such facility. I acknowledge that, in the middle of a global pandemic, there is a serious risk that, by using any facilities, I or my children could contract a dangerous virus or other health condition, and that I accept this risk and nonetheless voluntarily choose to allow my children to use the facility. In consideration of my children being allowed usage of any property or facility during the COVID-19 pandemic and for other good and valuable consideration, receipt of which is hereby acknowledged, on behalf of myself, my children and all others who may claim by, under, or through myself I do hereby agree to indemnify and hold harmless and do hereby release, acquit, and forever discharge the Millard Bulls Basketball and all of its officers, employees, agents and assigns, and all other persons or companies from any and all claims, actions, or causes of action which I or my children now have, or which may hereafter accrue, whether for personal injury or property damage, whether known or unknown, arising out of or in any way resulting from my and/or my children’s usage of any property or facility during the COVID-19 pandemic, including the summer months of 2020. * Required You will complete one form for each child. Parent's Last Name * Your answer Parent's First Name * Your answer Student's Last Name * Your answer Student's First Name * Your answer Grade in 2020-21 * Signature_____________________ Date_____________

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