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You are here: Home / Bellaire West Civic Improvement Association Information form

Bellaire West Civic Improvement Association Information form

This is a two-step form.  First, complete the information below and then the system will generate a summary that you will need to sign electronically, accepting it after it is signed.  If it is done correctly, you will see a large “checkmark” on the screen.

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Bellaire West Civic Improvement Association Release

Release for West Bellaire Pool

  • This field is for validation purposes and should be left unchanged.
  • Release of Liability

    By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my family, including child(ren), and I may be exposed to or infected by COVID-19 while on site at the pool at 7702 Baneway or the Community Center at 11511 Rowan Ln 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 at the pool or Community Center may result from the actions, omissions, or negligence of myself and others, including, but not limited to, the HOA Board and pool management company's employees, volunteers, and program 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, my family and my child(ren) may experience or incur in connection with my child(ren)’s attendance at the pool or Community Center or participation in pool activities (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the HOA Board and the pool management company and their 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 release includes any Claims based on the actions, omissions, or negligence of the HOA Board and the pool management company and their employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in pool or Community Center facility activities. COVID-19 WARNING The danger of exposure to the coronavirus that causes COVID-19 exists. By entering the pool, you take responsibility for your own protection and for disinfecting your hands and anything you touch in the pool area. Do not use the pool if you have a cough, fever or other symptoms of illness. Maintain at least 6 feet between you and other people who are not a part of your household. Wear a face covering when you are not in the swimming pool.

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