Brooklyn Letters

Teachers - Covid Waiver for staff


Staff Waiver and Release of Liability Page 1 of 2

WAIVER AND RELEASE OF LIABILITY

IN CONSIDERATION OF the risk of illness or injury from Covid 19 that exists while participating  in for (hereinafter the "Service"). 

AND IN CONSIDERATION OF my choice for myself or my child/dependent to participate in said Service and being given the right to participate in same;

I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives (hereinafter collectively, "Releasor," "I" or "me", which terms shall also include Releasor's parents or guardian if Releasor is under 18 years of age), 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 arising out of my participation in the Service; and

I HEREBY release and forever discharge Brooklyn Letters , New York, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns (collectively "Releases"), from any physical or psychological injury that I may suffer as a direct result of participation in the aforementioned Service.

I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED SERVICE AND I AM PARTICIPATING IN THE SERVICES ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THIS SERVICE DUE TO COVID-19, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO: PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, TEMPORARY OR PERMANENT DISABILITY, ECONOMIC OR EMOTIONAL LOSS, AND DEATH. NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME OR THE RELEASEE, DUE TO MY PARTICIPATION IN THIS SERVICE.

Waiver and Release of Liability Page 2 of 2

I FURTHER AGREE to indemnify, defend and hold harmless the Releasees 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.

I FURTHER ACKNOWLEDGE that Releases are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific service or activity on behalf of Releases.

I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS 'WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY.

EXPRESSLY AGREE TO RELEASE AND DISCHARGE Themba Tutors LLC AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST Themba Tutors LLC FOR PERSONAL INJURY OR ILLNESS.

I agree that this Release shall be governed for all purposes by New York State law, without regard to any conflict of law principles. This Release supersedes any and all previous oral or written promises or other agreements.

THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION IN THE SERVICE, DURING THIS INITIAL AND ALL SUBSEQUENT SERVICES.

Indep Contractor’s Name

Indep Contractor’s Business Name

Date:

Craig Selinger
Brooklyn Letters

Date:

Please read the attached COVID-19 Reopening Safety Plan and verify that you have read it in its entirety and will abide by its provisions. *

  1. Yes, I have read the attached COVID-19 Reopening Safety Plan and will abide by its provisions.
  2. Yes, I have read the attached COVID-19 Reopening Safety Plan but will be unable to abide by one or more of its provisions.
  3. No, I have NOT read the attached COVID-19 Reopening Safety Plan.

COVID-19 Reopening Safety Plan Page 1 of 4

Name of Business: Brooklyn Letters SLP PLLC 

Industry: Tutoring/Educational Support Services. NAICS Code 611710 

Address: 1139 Prospect Avenue. #21, Brooklyn NY 11218 

Contact Information:

Type Full Name as Electronic Signature *

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Signature Certificate
Document name: Teachers - Covid Waiver for staff
lock iconUnique Document ID: b52726b9e23bec8adaca4a1c898e57b53f0dcfd4
Timestamp Audit
September 19, 2020 6:01 pm ESTTeachers - Covid Waiver for staff Uploaded by Craig Selinger - [email protected] IP 39.39.93.99
September 23, 2020 9:19 pm ESTCraig Selinger - [email protected] added by Craig Selinger - [email protected] as a CC'd Recipient Ip: 39.44.165.155
October 10, 2023 9:14 pm ESTCraig Selinger - [email protected] added by Craig Selinger - [email protected] as a CC'd Recipient Ip: 39.39.14.84