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Complete a waiver for myself and children
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Please read the waiver below and fill out the required fields found in the following form sections. All liability language from the waiver will apply to all persons listed below.

Assumption of the Risk and Waiver of Liability and Release Relating to Coronavirus/COVID-19

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. 

NINE9 HOLDING LLC doing business as FUNTIME JUNCTION (“FUNTIME JUNCTION”) has put in place preventative measures to reduce the spread of COVID-19; however, FUNTIME JUNCTION cannot guarantee that you or your child(ren) will not become infected with COVID-19.  Further, participating in activities, or attending events, at FUNTIME JUNCTION 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 participating in activities, or attending events, at FUNTIME JUNCTION 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 by participating in activities, or attending events, at the FUNTIME JUNCTION may result from the actions, omissions, or negligence of myself and others, including, but not limited to, FUNTIME JUNCTION employees, volunteers, vendors, service providers, and other 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 or my participation in activities, or attendance of events, at FUNTIME JUNCTION (“Claims”).  On my behalf, and on behalf of my child(ren), I hereby waive, release, covenant not to sue, discharge, defend, and hold harmless FUNTIME JUNCTION 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 waiver and release includes any Claims based on the actions, omissions or negligence of FUNTIME JUNCTION, its employees, agents and representatives, whether a COVID-19 infection occurs before, during or after participation in any activity or program at FUNTIME JUNCTION. 

I/we have read this assumption of the risk and waiver of liability relating to the coronavirus/COVID-19, fully understand its terms, understand that I/we have given up substantial rights by agreeing to it and agree to it freely and voluntarily without any inducement.

In addition, I acknowledge that the below information is being collected solely for purposes of collecting information required for contact tracing in connection with the COVID-19 pandemic or otherwise and, unless I indicate below, FUNTIME JUNCTION will not use my information for marketing purposes.

By signing this waiver, I agree that all information is complete and accurate.