FLC COVID WAIVER

COVID-19 ACKNOWLEDGMENT, WAIVER AND CONSENT TO HEALTH SCREENING

The Undersigned ("Member" or "I") is a Member of the Kerwin B. Lee Family Life Center, a division of Berean Community Development Corporation (collectively hereafter "KBLFLC"). Member and KBLFLC will collectively be referred to as "the Parties" in this Covid-19 Acknowledgment, Waiver and Consent to Health Screening form (hereafter the "Agreement").

I hereby acknowledge that I understand the hazards of the novel coronavirus ("COVID-19") and am familiar with the Centers for Disease Control and Prevention ("CDC") guidelines regarding COVID-19, which may include, but not limited to the following COVID-19 related symptoms: cough, fever, shortness of breath, chills, muscle pain, headaches, fatigue, loss of smell and taste. These symptoms may range from minor to severe or no symptoms at all. I acknowledge and understand that the circumstances regarding COVID-19 are changing from day to day and that, accordingly, the CDC guidelines are regularly modified and updated and I accept full responsibility for staying abreast of these updates on a regular and ongoing basis.

I also hereby verify that neither I nor any member of my immediate family to the best of my knowledge (1) has traveled within the past fourteen (14) days to any country or region (outside the State of Georgia) that has been affected by COVID-19, (2) is presenting any symptoms of COVID-19 as recognized by the CDC within the last seventy-two (72) hours, (3) has contracted COVID-19, and/or (4) has been in no more than passing contact with anyone exhibiting symptoms of COVID-19 as recognized by the CDC.

Given the risks associated with COVID-19 and in consideration for my continued participation as a Member of the KBLFLC, I hereby agree that I shall comply with all CDC guidance related to COVID-19 as well as with all policies, procedures and/or protocols implemented by, or that may be, implemented by KBLFLC in response to the COVID-19 pandemic, including, but not limited to those relating to social distancing, personal protective equipment, and cleanliness and hygiene.

I agree to fully assume the risk of illness or death related to COVID-19 arising from my failure to follow all COVID-19 related CDC guidance and KBLFLC policies, procedures and protocols regarding same. I further agree to INDEMNIFY, DEFEND, RELEASE and HOLD HARMLESS Kerwin B. Lee Family Life Center, Berean Community Development Corporation, Berean Christian Church, and its respective board of directors, officers, employees, volunteers, agents, representatives and affiliate entities (collectively “Berean”) from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs and disbursements), arising from or out of, or relating to, directly or indirectly, the infection of COVID-19 or any other illness or injury directly or indirectly related to my failure to follow CDC guidance related to COVID-19 and/or any policies, procedures and/or protocols implemented by Berean in response to the COVID-19 pandemic. It is my express intent that this Agreement shall bind any assigns and representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, and COVENANT NOT TO SUE Berean. This Agreement and the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of Georgia.

HEALTH SCREENING: I acknowledge and understand that in effort to protect the health and safety of its members, patrons, guests and staff, KBLFLC staff will conduct a health screening for COVID-19 related symptoms of its members, patrons and guests. This screening may include, but not limited to a temperature check and health questionnaire. I understand that my temperature will be taken by KBLFLC staff as a condition to access and use KBLFLC’s facility, equipment and services. By signing this Agreement, I acknowledge and give consent to KBLFLC staff to take my temperature and to collect my health information during the health screening process.

I ACKNOWLEDGE AND UNDERSTAND THAT IF I REFUSE TO CONSENT TO THE HEALTH SCREENING, THEN I WILL NOT BE PERMITTED TO ACCESS AND USE THE KBLFLC’S FACILITY. IF I HAVE ANY COVID-19 SYMPTOMS OR HAVE A TEMPERATURE GREATER THAN 100.4 DEGREES FAHRENHEIT, I UNDERSTAND AND ACKNOWLEDGE THAT I WILL NOT BE ALLOWED TO ACCESS AND USE THE KBLFLC’S FACILITY. MOREOVER, I UNDERSTAND AND ACKNOWLEDGE THAT I MAY BE DENIED ACCESS TO THE KBLFLC FACILTY BASED ON MY RESPONSE(S) TO THE HEALTH SCREENING QUESTIONNAIRE. I ACKNOWLEDGE THAT THIS AGREEMENT IS IN EFFECT DURING THE COVID-19 PANDEMIC.

If any provision contained in this Agreement shall for any reason be held invalid, illegal or unenforceable under the applicable law of any state, such invalidity or unenforceability shall not affect the enforcement of any other provision or part of a provision of this Agreement. Further, the Parties agree and request that a court of competent jurisdiction modify any provision in this Agreement determined to be overbroad or unenforceable by such court to the maximum extent permissible so that such provision is enforceable and reasonably protects Berean’s interests.

I CERTIFY THAT I AM OVER THE AGE OF EIGHTEEN (18) AND FULLY COMPETENT TO SIGN THIS WAIVER. I UNDERSTAND AND AGREE THAT THIS COVID-19 ACKNOWLEDGMENT, WAIVER AND CONSENT TO HEALTH SCREENING IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF GEORGIA. I CERTIFY THAT I HAVE READ THIS DOCUMENT, THAT I FULLY UNDERSTAND ITS CONTENTS AND VOLUNTARILY SIGNED IT. I AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS, OR OTHER INDUCEMENTS TO SIGN BELOW HAVE BEEN MADE APART FROM WHAT ARE WRITTEN ON THIS FORM.