Pod Mini Camp

Submission of this form indicates that you have read and agree to the terms of our waiver. Waiver/Indemnification: As parent/Legal guardian of the child named herein, I hearby represent that the child has been examined by a pediatrician and is physically fit to participate in Top Bins Only programs. I understand that there are inherent risks participating in this athletic program. I hereby accept responsibility for and agree to pay any and all costs of medical treatment resulting from any injury suffered by my child as a result of his/her participation, and/or representatives from any and all liability, damage, cost or expense arising out of my child's participation, of every kind and nature in Top Bins Only LLC events. In the event that I cannot be reached in emergency, I hereby give permission for care to be administered by a qualified Top Bins Only LLC. staff member, EMT, physician/staff or hospital, or any other qualified individual to provide any medical treatment deemed necessary for my child. As well, I give permission to Top Bins Only LLc to take photos/video of my child participating in the program for various marketing purposes and to send me emails about upcoming events.

By registering you have read and agreed to all of our waivers and our COVID19 Release.

 

This Waiver and Release of Liability is for participants, their Families, and Staff participating in programs or activities used by Top Bins Only, LLC.

I understand that Top Bins Only, LLC makes no representations with regard to the risk of exposure to the COVID-19 virus, or coronavirus,  I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims, or causes of action of any kind whatsoever arising out of the contraction of, or the exposure to, the COVID-19 virus by participating in activities of Top Bins Only, LLC, and do hereby release and forever discharge Top Bins Only, LLC located at 16 Terrace Street, Haworth, NJ, their affiliates, managers, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any injury or illness I may suffer due to contracting or being exposed to COVID-19, including, but not limited to, illness, paralysis, death, damages, economic or emotional loss.

I AM VOLUNTARILY ENTERING THE PROPERTY USED BY TOP BINS ONLY, LLC ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH

COVID-19 WHILE BEING IN CLOSE CONTACT WITH OTHER PEOPLE, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, ECONOMIC OR EMOTIONAL LOSS, AND DEATH. NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN OR UNKNOWN TO ME, WITH MY PRESENCE ON THE PUBLIC PROPERTY LOCATED IN RIVER EDGE NJ OPERATED BY TOP BINS ONLY, LLC.

I agree to indemnify and hold harmless Top Bins Only, LLC  against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If Top Bins Only, LLC incurs any of these types of expenses, I agree to reimburse Top Bins Only, LLC.

I acknowledge that Top Bins Only, LLC and their directors, officers, volunteers, representatives and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting summer camp activities on behalf of Top Bins Only, LLC