Weekly COVID Questionnaire This form must be completed prior to participation in any Ascension Event EVERY TIME YOU PARTICIPATE. Weekly COVID Questionnaire This questionnaire must be completed prior to participation each week. Parent/Guardian Name* First Last Parent Email* Player Name* First Last Player Email* Ascension Event*Winter Train and PlayGirls Friday Night Lights2024 Fall Training Academy 2.02025 Select Fall Training AcademyFall Train and Play at Gilman SchoolFreshman 44 at Cedar Lane ParkDaily Health Screening QuestionnaireIn order to participate in Ascension Lacrosse events, please complete the form below for your child each week. Do you have any of the following symptoms?* Nausea or vomiting Unusual muscle soreness Unusual headache Congestion or runny nose Chills Loss of taste or smell Shortness of breath Cough Unusual Fatigue Sore throat None of the above Is the player's temperature above 100ºF ?*YesNoHas your son or anyone who has been in close contact with him, been diagnosed with COVID-19 or Covid-like symptoms in the past 14 days? Or has he been told to quarantine as a result of exposure?*YesNoAssumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19* I agree to the policy.The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Ascension Lacrosse and Gilman School have put in place preventative measures to reduce the spread of COVID-19; however, Gilman School cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Ascension lacrosse at Gilman could increase your risk and your child(ren)’s risk of contracting COVID-19. 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 Ascension Lacrosse at Gilman School and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Ascension Lacrosse at Gilman School may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Ascension Lacrosse and/or Gilman School employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Ascension Lacrosse at Gilman School or participation in Ascension Lacrosse programming “Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Ascension Lacrosse and Gilman School, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Ascension Lacrosse and/or Gilman School, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Ascension Lacrosse at Gilman School program.