INFORMED CONSENT AND VOLUNTARY PARTICIPATION Sample Clauses

INFORMED CONSENT AND VOLUNTARY PARTICIPATION. UNDERSIGNED fully acknowledges and understands that COVID-19 is extremely contagious. UNDERSIGNED has taken it upon himself or herself to be fully informed of the numerous risks and potential dangers associated with COVID-19, including SUFFERING SEVERE PERSONAL INJURY OR DEATH. UNDERSIGNED acknowledges that he or she has been informed that his or her PERSONAL SAFETY CANNOT BE GUARANTEED. UNDERSIGNED acknowledges that his or her participation in the Activities are completely voluntary, and he or she believes that the potential benefits of participation and/or services provided outweigh the risk and danger associated with COVID-19. For more information please see the Center For Disease Control’s site at xxxxx://xxx.xxx.xxx/coronavirus/2019-nCoV/index.html.
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INFORMED CONSENT AND VOLUNTARY PARTICIPATION. UNDERSIGNED fully acknowledges and understands that COVID-19 is extremely contagious. UNDERSIGNED has taken it upon himself or herself and the Minor to be fully informed of the numerous risks and potential dangers associated with COVID-19, including SUFFERING SEVERE PERSONAL INJURY OR DEATH. UNDERSIGNED acknowledges that he or she has been informed and will inform the Minor that the Minor’s PERSONAL SAFETY CANNOT BE GUARANTEED. UNDERSIGNED acknowledges that the Minor’s participation in the Activities are completely voluntary, and the UNDERSIGNED and the Minor believe that the potential benefits of participation and/or services provided outweigh the risk and danger associated with COVID-19. For more information, please see the Center For Disease Control’s site at xxxxx://xxx.xxx.xxx/coronavirus/2019-nCoV/index.html.
INFORMED CONSENT AND VOLUNTARY PARTICIPATION. UNDERSIGNED fully acknowledges and understands that COVID-19 is extremely contagious, and information about COVID-19 is rapidly evolving. UNDERSIGNED has taken it upon himself or herself and the Minor to be fully informed of the numerous risks and potential dangers associated with COVID-19, including SUFFERING SEVERE PERSONAL INJURY OR DEATH. UNDERSIGNED acknowledges that he or she has been informed and will inform the Minor that the Minor’s PERSONAL SAFETY AND HEALTH CANNOT BE GUARANTEED. UNDERSIGNED acknowledges that the Minor’s participation in the Events and Activities are completely voluntary, and the UNDERSIGNED and the Minor believe that the potential benefits of participation and/or services provided outweigh the risk and danger associated with COVID-19. For more information, please see the Centers For Disease Control and Prevention’s site at xxxxx://xxx.xxx.xxx/coronavirus/2019-nCoV/index.html. Do not sign this form unless and until you have made an informed voluntary decision to participate after doing your own research and/or considering your own risks and health condition.
INFORMED CONSENT AND VOLUNTARY PARTICIPATION. Fully acknowledges and understands that participation in the EVENTS will involve physical and strenuous activity and dangerous and changing circumstances and conditions. I have taken it upon myself to be fully informed, and to inform my minor participating child, of the numerous inherent risks and potential dangers associated with the EVENTS, including the RISK OF BEING INVOLVED IN AN ACCIDENT, CRASH OR COLLISION AND SUFFERING SEVERE PERSONAL INJURY OR DEATH acknowledge, and I have informed my minor participating child, that our PERSONAL SAFETY CANNOT BE GUARANTEED. I acknowledge that my and my minor child’s participation in the EVENTS is completely voluntary, and we believe that the potential benefits of participation outweigh the risks and danger associated with the EVENTS. UNDERSIGNED acknowledges that he or she has been able to ask questions regarding the EVENTS, and that all questions have been answered to his or her satisfaction.
INFORMED CONSENT AND VOLUNTARY PARTICIPATION. UNDERSIGNED fully acknowledges and understands that COVID-19 is extremely contagious. UNDERSIGNED has taken it upon himself or herself and the Minor to be fully informed of the nume rous risks and pote ntial xxxxx xx associated with COVID-19, including SUFFERING SEVERE PERSONAL INJURY OR DEATH. UNDERSIGNED acknowledges that he or she has been informed and will inform the Minor that the Minor’s PERSONAL SAFETY CANNOT BE GUARANTEED. UNDERSIGNED acknowledges that the Minor’s participation in the Activities are completely voluntary, and the UNDERSIGNED and the Minor believe that the potential benefits of participation and/or services provided outweigh the risk and danger associated with COVID-19. For more information, please see the Center For Disease Control’s site at xxxxx://xxx.xxx.xxx/coronavirus/2019-nCoV/index.html.
INFORMED CONSENT AND VOLUNTARY PARTICIPATION. UNDERSIGNED fully acknowledges and understands that COVID-19 is extremely contagious. UNDERSIGNED has taken it upon himself or herself to be fully informed of the numerous risks and potential dangers associated with COVID-19, including SUFFERING SEVERE PERSONAL INJURY OR DEATH. UNDERSIGNED acknowledges that he or she has been informed that his or her PERSONAL SAFETY CANNOT BE GUARANTEED. UNDERSIGNED acknowledges that his or herparticipation in the Activities are completely voluntary, and he or she believes that the potential benefits of participation and/or services provided outweigh the risk and danger associated with COVID-19. For more information please see the Center For Disease Control’s site at xxxxx://xxx.xxx.xxx/coronavirus/2019-nCoV/index.html. Revised 05/17/2020 5. UNDERSIGNED acknowledges that it is his or her responsibility to do all of the following: (1) exercise caution and follow any CDC or OSHA issued protocols (including without limitation those guidelines specifically referenced by the PRCA to protect the health of the UNDERSIGNED; (2) inform employer of any Activities which the UNDERSIGNED does not feel comfortable performing; (3) cease any activity and promptly report any physical discomfort, illness or complications while participating in any Activity; and (4) clear his or her participation of any Activity with his or her personal physician. UNDERSIGNED also agrees, represents and warrants that he or she will not participate in any Activity if he or she (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) has a suspected or diagnosed/confirmed case of COVID-19.
INFORMED CONSENT AND VOLUNTARY PARTICIPATION. I fully acknowledge and understand that COVID-19 is extremely contagious. I have taken it upon myself to be fully informed of the numerous risks and potential dangers associated with COVID-19, including suffering severe illness, personal injury or death and exposing others to COVID-19. I acknowledge that I have been informed that my personal safety cannot be guaranteed. I acknowledge that my participation in the Activities is completely voluntary, and I believe that the potential benefits of participation and/or services provided outweigh the risk and danger associated with COVID-19 or otherwise. I acknowledge that it is my responsibility to do all of the following: (1) exercise caution and follow any CDC or OSHA issued protocols to protect my health; (2) cease any activity and promptly report any physical discomfort, illness or complications while participating in any Activity; and (3) clear my participation in any Activity with my personal physician. I also agree, represent and warrant that I will not participate in any Activity if I (or any member of my household) (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) have/has a suspected or diagnosed/confirmed case of COVID-19. I acknowledge that this agreement is intended to be fully severable, and that if any portion of this Agreement is held invalid, it is agreed that the balance the Agreement shall continue in full legal force and effect. That shall include modifying the Agreement to allow the remainder of claims to be waived, released, and indemnified against in the event that the inclusion of any particular type of claim is found to be invalid or contrary to public policy. I hereby accept all terms set forth herein and acknowledge this is the complete agreement between the parties regarding these issues, and I agree and acknowledge that no oral representations, statements or inducements have been made apart from this agreement. I have completely read this entire agreement, fully understand its terms, and understand that this is an important legal document affecting substantial legal rights. I sign this document freely and voluntarily without any inducement, assurance, or guarantee being made to me and I intend my signature to be a complete and unconditional release of liability to the greatest extent allowed by law. I was given ample opportunity to read the Agreement and/or have it reviewed by legal counsel of my choice. I was also offere...
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INFORMED CONSENT AND VOLUNTARY PARTICIPATION. Fully acknowledges and understands that participation in the EVENTS will involve physical and strenuous activity and dangerous and changing circumstances and conditions. UNDERSIGNED has taken it upon himself or herself to be fully informed of the numerous inherent risks and potential dangers associated with the EVENTS, including the RISK OF BEING INVOLVED IN AN ACCIDENT, CRASH OR COLLISION, AND SUFFERING SEVERE PERSONAL INJURY OR DEATH. UNDERSIGNED acknowledges that he or she has been informed that his or her PERSONAL SAFETY CANNOT BE GUARANTEED. UNDERSIGNED acknowledges that his or her participation in the EVENTS is completely voluntary, and he or she believes that the potential benefits of participation outweigh the risks and danger associated with the EVENTS. UNDERSIGNED acknowledges that he or she has been able to ask questions regarding the EVENTS, and that all questions have been satisfactorily answered.

Related to INFORMED CONSENT AND VOLUNTARY PARTICIPATION

  • Initial Effective Date The initial effective date of coverage under the Group Insurance Program is the thirty-fifth (35th) day following the employee's first day of employment, re- hire, or reinstatement with the State. The initial effective date of coverage for an employee whose eligibility has changed is the date of the change. An employee must be actively at work on the initial effective date of coverage, except that an employee who is on paid leave on the date State-paid life insurance benefits increase is also entitled to the increased life insurance coverage. In no event shall an employee's dependent's coverage become effective before the employee's coverage. If an employee is not actively at work due to employee or dependent health status or medical disability, medical and dental coverage will still take effect. (Life and disability coverage will be delayed until the employee returns to work.)

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