Girl Scouts of Middle Tennessee, Inc. RELEASE OF LIABILITY AND ASSUMPTION OF RISK 

The undersigned, on behalf of himself/herself, and on behalf of his or her minor child (and his/her personal representatives, assigns, heirs and executors) (collectively, “Guest”) who desires to participate in one or more activities or programs (the "Activities") offered by Girl Scouts of Middle Tennessee, Inc., a Tennessee nonprofit corporation (“GSMT"), at the following location: ______________________________________________ (the "Premises"). In consideration of such child, who is under the age of 18, being permitted by GSMT to engage in the Activities and in recognition of GSMT's reliance hereon, the undersigned agrees to all the terms and conditions set forth in this agreement (this "Release"). COVID-19 Release and Assumption of Risk 1. I am aware of the highly contagious nature of bacterial and viral diseases, including without limitation the 2019 novel coronavirus disease (COVID-19) (collectively, the "Disease"), and the risk that my child or I or other members of our family may be exposed to or contract the Disease or another infectious disease by being on the Premises and engaging in the Activities. I understand and acknowledge that such exposure or infection may result in serious illness, personal injury, permanent disability or death. I acknowledge that this risk may result from or be compounded by the actions, omissions, or negligence of others, including GSMT employees. I understand that while GSMT has implemented preventative measures designed to reduce the spread of the Disease, GSMT cannot guarantee that neither my child nor any person with whom my child comes into contact will not become infected with the Disease or other infectious diseases while on the Premises and that being on the Premises and engaging in the Activities may increase my child’s risk of contracting the Disease. NOTWITHSTANDING THE RISKS ASSOCIATED WITH THE DISEASE, I ACKNOWLEDGE THAT I AM VOLUNTARILY PERMITTING MY CHILD TO ENTER THE PREMISES TO ENGAGE IN THE ACTIVITIES WITH KNOWLEDGE OF THE POTENTIAL DANGER INVOLVED. I HEREBY AGREE TO ACCEPT AND ASSUME ALL RISKS OF PERSONAL INJURY, ILLNESS, DISABILITY, OR DEATH, RELATED TO THE DISEASE, ARISING FROM MY CHILD’S OR MY BEING ON THE PREMISES OR MY CHILD’S ENGAGING IN THE ACTIVITIES, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF GSMT OR OTHERWISE. 2. I hereby expressly waive and release any and all claims, now known or hereafter known, against GSMT and its officers, directors, employees, agents, affiliates, successors, and assigns (collectively, "Releasees"), on account of injury, illness, disability, or death arising out of or attributable to my child’s being on the Premises or engaging in the Activities and being exposed to or contracting the Disease, whether arising out of the ordinary negligence of GSMT or any Releasees or otherwise. I covenant not to make or bring any such claim against GSMT or any other Releasee, and forever release and discharge GSMT and all other Releasees from liability under such claims. This waiver and release does not extend to claims for gross negligence, willful misconduct, or any other liabilities that Tennessee law does not permit to be released by agreement. 3. I am familiar with federal, state, and local laws, orders, directives, and guidelines related to the Disease, including guidance from the Centers for Disease Control and Prevention and state and local public health authorities, on the Disease. I will, and will cause my child to, comply with all such orders, directives, and guidelines while on the Premises, including, without limitation, requirements related to hand sanitation, social distancing, and use of face coverings. I will, and will direct my child to, follow all instructions of GSMT’s representatives while on the Premises. I agree not, and not to permit my child, to enter the Premises if either I or my child is experiencing symptoms of the Disease (such as cough, shortness of breath, or fever), has a confirmed or suspected case of the Disease, or has come in contact in the last 14 days with a person who has been confirmed or suspected of having the Disease. Release and Assumption of Risk for “Pests” 4. I hereby expressly waive and release any and all claims, now known or hereafter known, against the Releasees on account of injury, illness, disability, or death arising out of or attributable to my child’s being on the Premises or engaging in the Activities and being exposed to bugs, insects, dangerous plants, wildlife, pests and vermin (“Pests”), whether arising out of the ordinary negligence of GSMT or any Releasees or otherwise. I covenant not to make or bring any such claim against GSMT or any other Releasee, and forever release and discharge GSMT and all other Releasees from liability under such claims. This waiver and release does not extend to claims for gross negligence, willful misconduct, or any other liabilities that Tennessee law does not permit to be released by agreement. 5. The undersigned makes the following representations and warranties: A. Guest is in good physical condition and is able to safely participate in Activities with the Girl Scouts; B. The undersigned and/or Guest understand that the Girl Scouts provide access to outdoor activities and attempt to maintain the surroundings and grounds of their facilities in a natural state; C. The undersigned and/or Guest understand that Pests inhabit the surroundings and grounds of its outdoor facilities, and that such Pests pose a risk to safety; D. The undersigned and/or Guest voluntarily seek to expose themselves/Guest to a natural habitat including potential exposure to Pests; E. The undersigned and/or Guest understand that the Girl Scouts are not responsible for injuries, harm, or inconvenience associated with Pests; F. All statements made herein are true and correct and the undersigned understands that the Girl Scouts have relied on them in allowing Guest to participate in Activities; G. If Guest is a Troop leader, that Guest has advised her Troop of the presence of Pests: and H. Guest authorizes emergency medical treatment in the event that an emergency exists. Understandings and Acknowledgement Applicable to Entire Release 6. This Release constitutes the sole and entire agreement of GSMT and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. This Release is binding on and shall inure to the benefit of GSMT and me and our respective successors heirs and personal representatives. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of Tennessee without giving effect to any choice or conflict of law provision or rule (whether of the State of Tennessee or any other jurisdiction). Any claim or cause of action arising under this Release, including whether such claim or cause of action is arbitrable, shall be settled by binding arbitration administered by the American Arbitration Association in accordance with its Commercial Arbitration Rules, and judgment on any award rendered may be entered in any court having jurisdiction thereof. Evidentiary matters shall be determined in accordance with the Federal Rules of Evidence. Claims shall be heard by a single arbitrator, selected by mutual agreement of the parties or, failing such agreement, shall be appointed in accordance with the Commercial Arbitration Rules. The place of arbitration shall be in Davidson County, Tennessee. Except as may be required by law, neither party nor the arbitrator may disclose the existence, content, or results of any arbitration hereunder without the prior written consent of both GSMT and the undersigned parent. 2 BY SIGNING THIS RELEASE, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE GSMT ON MY OWN BEHALF AND ON BEHALF OF MY CHILD. I AM THE PARENT OR LEGAL GUARDIAN OF THE MINOR NAMED ABOVE. I HAVE THE LEGAL RIGHT TO CONSENT AND, BY SIGNING BELOW, I HEREBY DO CONSENT TO THE TERMS AND CONDITIONS OF THIS RELEASE OF LIABILITY.

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