Minnesota Youth Athletic Services / Wisconsin Sports Services Independent Contractor Waiver Form


Date Signed: {{vm.form.dateSigned | date:'MM/dd/yyyy'}}

Please INITIAL ALL statements:


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COVID-19 Waiver

IN ADDITIONAL CONSIDERATION for myself and/or my children being permitted to utilize the services, utilize the facilities, and/or participate in the programs of the Minnesota Youth Athletic Services (MYAS) and their partners including, but not limited to, use of facilities or equipment, or participation in any program affiliated with the MYAS, the undersigned, on behalf of himself or herself and such participating children and any personal representatives, heirs, and next of kin (hereinafter referred to as "the undersigned") hereby acknowledges, agrees, and represents that he or she has inspected and carefully considered such premises, equipment, and facilities and has considered the MYAS’s programs and that the undersigned finds and accepts same as being safe and reasonably suited for the use or participation by the undersigned and such participating children.

The undersigned acknowledges that novel coronavirus (COVID-19) infections have been confirmed throughout the United States, including several cases in the State of Minnesota and locality. In accordance with the most recent guidance and recommendations issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and the Minnesota Department of Health (MDH) for slowing the transmission of COVID-19, the undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating children shall visit or utilize the facilities, services, and/or programs of the MYAS (other than any exclusively online services and programs) within 14 days after:

  1. returning from highly impacted areas subject to a CDC Level 3 Travel Health Notice,
  2. exposure to any person returning from areas subject to a CDC Level 3 Travel Health Notice, or
  3. exposure to any person who has a suspected or confirmed case of COVID-19.

The CDC Travel Health Network is continuously updating this list and the undersigned agrees that they are aware of this list and the countries listed. The undersigned agrees to check on a daily basis the CDC Travel Health Notices list (https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html) prior to participating in or utilizing the facilities, services, and programs of the MYAS and their partners. The undersigned hereby agrees, represents, and warrants that neither the undersigned nor such participating children shall participate in, visit or utilize the facilities, services, and/or programs of the MYAS if he or she:

  1. experiences symptoms of COVID-19, including, without limitation, fever, cough, loss of sense of taste or smell, or shortness of breath, or
  2. has a suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify the MYAS immediately if he or she believes that any of the foregoing access/use restrictions may apply.

The MYAS has taken certain steps to implement certain recommended guidance and recommendations issued by public health agencies for slowing the transmission of COVID-19, including, without limitation, the access/use restrictions set forth above. The MYAS COVID-19 Safe Play (and other resources provided by the MN Department of Health and Centers for Disease Control) can be reviewed at http://myas.org/covid-19/resources/. The undersigned acknowledges and agrees that the MYAS may revise its procedures at any time based on updated recommended guidance and recommendations issued by public health agencies and further agrees to comply with the MYAS’s revised procedures prior to utilizing the facilities and services, and/or prior to participating in the programs of the MYAS. The undersigned further acknowledges and agrees that, due to the nature of the facilities, services, and programs offered by the MYAS, social distancing of 6 feet per person among children and their fellow participants or others is not always possible. The undersigned fully understands and appreciates both the known and potential dangers of participating in the programs and/or utilizing the facilities and services of the MYAS and acknowledges that use thereof by the undersigned and/or such participating children may, despite the MYAS’s reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death.



For help contact: jeremy@myas.org


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