top of page
20231020_101421.jpg

WAIVER AND RELEASE OF LIABILITY

IN CONSIDERATION OF the risk of injury that exists while participating in INDOOR AND OUTDOOR ACTIVITIES (hereinafter the "Activities"); and IN CONSIDERATION OF my desire for my child to participate in said Activities and being given the right to participate in same; I, as the parent or legal guardian of the child mentioned above, WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the WISE LITTLE OWLS LLC, its owner, Oneiz Mercado, employees, camp counselors, volunteers, entities or other persons released, for my child’s death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to them including their traveling to and from these activities. INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE Wise Little Owls LLC, its Owner, Oneiz Mercado, employees, volunteers, or other entities or persons released from any and all liabilities or claims made as a result of my child’s participation in these activities, whether caused by the negligence of release or otherwise. 

 

I understand and give permission for my child to participate in camp activities that could include  indoor and outdoor play as well as physical activities, and walks wherein there could be mosquitos, bees, ticks, poison ivy, and slippery and jagged surfaces among other dangers and risks. I understand and give permission to my child to travel by school bus to field trips to visit local sites and to walk along downtown streets and in public and private museums and historical sites and agree to cover any additional cost to cover for my child’s field trip expenses. I also understand that outdoor activities may occur in the hot sun and in the rain. I agree to see that my child is wearing the appropriate attire for any and all activities, and to provide insect repellent and sunscreen for my child to use. I will not expect Wise Little Owls LLC to provide these items. I give my permission to Wise Little Owls LLC camp leaders to apply or assist with the application of the repellent and sunscreen I provide. 

 

I agree to pay any necessary expenses incurred in the medical treatment of my child, including, but not limited to all transportation costs to and from a medical facility, and, if necessary, transportation to my home or medical facility of choice. In the event that I cannot be reached and MY CHILD should require medical care or treatment, I authorize Wise Little Owls LLC to require medical care or treatment. I am aware and understand that I should carry my own health insurance.

 

I understand that Wise Little Owls LLC may, in its sole discretion, dismiss any camp participant for inappropriate, disrespectful, or dangerous behavior at any time. In this event, I understand that I will not receive a refund of camp fees for unattended days. If my child breaks or damages any property as a result of their direct or indirect behavior, I hereby agree to pay for its repair or replacement. 

 

I understand that while participating in these activities, my child may be photographed. I agree to allow their photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. 

 

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. Wise Little Owls LLC, its owner, Oneiz Mercado, program coordinator, and all its employees, acting officially or otherwise are hereby released from any and all claims, demands, actions, or causes of action on account of any injury to my child that may occur. This release binds my heirs, executors, administrators, and/or assigns. 

​

COVID-19 Release Waiver 

 

COVID-19: The novel coronavirus,COVID-19, has been declared a worldwide pandemic by the WorldHealth Organization. WISE LITTLE OWLS LLC has put in place preventative measures to reduce the spread of COVID-19. However,  WISE LITTLE OWLS LLC cannot guarantee that I, my child(ren), or anyone else will not become infected with COVID-19. Participating in a WISE LITTLE OWLS LLC program or activity could increase the risk of contracting COVID-19.

In consideration of being allowed to participate in anyway in any WISE LITTLE OWLS LLC activities, I understand, acknowledge, and agree to the following:

 

1. I knowingly and willingly consent for my child to be cared for WISE LITTLE OWLS LLC staff and any designated associates and employees.

2. I understand the COVID-19 virus may not show symptoms. It is impossible to determine who has COVID-19 and who does not, given the current limitations.

3. Risk of transmission: I understand that due to the frequency of contact during indoor and outdoor activities, characteristics of the virus, and characteristics of training with WISE LITTLE OWLS LLC, I have an elevated risk of contracting the virus by simply participating in these activities, even though standard precautions are being observed.

4. I am unaware of being a possible carrier or infected: I confirm that I have not tested positive for COVID-19in the last 30 days and that I am not presenting with any of the following symptoms of COVID-19:

I.Fever of 100.5 degrees Fahrenheit or 37 degreesCelsius or higher

II.Shortness of breath

III.Dry cough

IV.Runny nose

V.Sore throat

Vl. A diminished sense of taste or smell

5. Contact with the infected: I confirm that I have not knowingly been in close contact with someone who has tested positive for COVID-19 in the last 14 days,or with anyone that has had the above-stated symptoms in paragraph 4 (#4) in the last 14 days.

6. I confirm that I have had no known exposure to the virus in the last 14 days.

INFORMED CONSENT: I have been given the opportunity to ask any questions regarding the risks of contracting COVID-19 from the DC Way and participation in their practices and activities. I reaffirm that I am not a carrier of COVID-19 nor infected with COVID-19 to the best of my knowledge, including those in the household. I voluntarily assume any and all risks,which may be associated with any phase of my training as a result of the COVID-19 pandemic. I acknowledge the nature and purpose of the training procedures recommended under the current circumstances that have been explained to me. I have been given the opportunity to ask questions.

 

I UNDERSTAND AND VOLUNTARILY ACCEPT AND ASSUME ALL the foregoing risks related to COVID-19 and accept sole responsibility for injury or illness that may occur. Further, I UNDERSTAND AND AGREE that this release includes any claims based on the actions, omissions, or negligence of WISE LITTLE OWLS LLC, its Owner, Oneiz Mercado, employees, volunteers, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any WISE LITTLE OWLS LLC activity.

(WAIVER AND RELEASE) I HAVE READ THIS DOCUMENT, FULLY UNDERSTAND ITS CONTENT, AND AGREE TO ITS TERMS.
(COVID-19 WAIVER) I, THE UNDERSIGNED ACCEPT

Thanks for submitting!

Wise little owls logo (2).png
bottom of page