In-person attendees will be required to sign the following COVID waiver at the beginning of the conference.

Thank you for your understanding and cooperation.

COVID-19 Individual Exposure Screening

1) Have you been within 6 feet of a person with a case of COVID-19 in the past 14 days? __ Yes __ No

2) Are you or anyone in your household awaiting the results of a pending COVID-19 test? __ Yes __ No

3) In the past 48 hours, have you experienced any of the following symptoms:

Fever of 100 or above: __ Yes __ No

Cough: __ Yes __ No

Sore Throat: __ Yes __ No

Muscle pain: __ Yes __ No

Chills or Repeated Shaking with Chills: __ Yes __ No

Shortness of breath, Trouble Breathing or Severe Wheezing: __ Yes __ No

Loss of Smell or Taste, or a Change in Taste: __ Yes __ No

Nausea, vomiting, or diarrhea: __ Yes __ No

4) Have you recently been in close contact with anyone who has exhibited any symptoms or tested positive for COVID-19? __ Yes* __ No

*If recently exposed and asymptomatic, vaccinated people are recommended to wear a mask for 10 or so days, don't have to isolate, and should get tested 3-5 days after exposure.

COVID-19 SAFETY ACKNOWLEDGEMENT -- LIABILITY WAIVER AND RELEASE OF

CLAIMS COVID-19 SAFETY INFORMATION:

While participating in events held or sponsored by the Environmental Education Association of Indiana, Inc., (“EEAI”),

consistent with CDC guidelines, participants are encouraged to practice hand hygiene, “social distancing” and wear face

coverings to reduce the risks of exposure to COVID-19. Because COVID-19 is extremely contagious and is spread mainly

from person-to-person contact, EEAI has put in place preventative measures to reduce the spread of COVID-19.

However, EEAI cannot guarantee that its participants, volunteers, partners, or others in attendance will not become

infected with COVID-19.

In light of the ongoing spread of COVID-19, individuals who fall within any of the categories below should not engage in

EEAI events and/or other face to face fundraising activities. By attending an EEAI event, you certify that you do not fall

into any of the following categories: 1. Individuals who currently or within the past fourteen (14) days have experienced

any symptoms associated with COVID-19, which include fever, cough, and shortness of breath among others; 2.

Individuals who believe that they may have been exposed to a confirmed or suspected case of COVID-19 or have been

diagnosed with COVID-19 and are not yet cleared as non-contagious by state or local public health authorities or the

health care team responsible for their treatment.

DUTY TO SELF-MONITOR: Participants and volunteers agree to self-monitor for signs and symptoms of COVID-19

(symptoms typically include fever, cough, and shortness of breath) and, contact EEAI at eeai@eeai.org if he/she

experiences symptoms of COVID-19 within 14 days after participating or volunteering with EEAI.

LIABILITY WAIVER AND RELEASE OF CLAIMS: I acknowledge that I derive personal satisfaction and a benefit by virtue of

my participation and/or voluntarism with EEAI, and I willingly engage in EEAI events and/or other activities (the

“Activity”).

RELEASE AND WAIVER:

I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE ANY AND ALL LIABILITY, CLAIMS, AND DEMANDS OF WHATEVER

KIND OR NATURE AGAINST THE ENVIRONMENTAL EDUCATION ASSOCIATION OF INDIANA AND ITS AFFILIATED

PARTNERS AND SPONSORS, INCLUDING IN EACH CASE, WITHOUT LIMITATION, THEIR DIRECTORS, OFFICERS,

EMPLOYEES, VOLUNTEERS, AND AGENTS (THE “RELEASED PARTIES”), EITHER IN LAW OR IN EQUITY, TO THE FULLEST

EXTENT PERMISSIBLE BY LAW, INCLUDING BUT NOT LIMITED TO DAMAGES OR LOSSES CAUSED BY THE NEGLIGENCE,

FAULT OR CONDUCT OF ANY KIND ON THE PART OF THE RELEASED PARTIES, INCLUDING BUT NOT LIMITED TO DEATH,

BODILY INJURY, ILLNESS, ECONOMIC LOSS OR OUT OF POCKET EXPENSES, OR LOSS OR DAMAGE TO PROPERTY, WHICH I,

MY HEIRS, ASSIGNEES, NEXT OF KIN AND/OR LEGALLY APPOINTED OR DESIGNATED REPRESENTATIVES, MAY HAVE OR

WHICH MAY HEREINAFTER ACCRUE ON MY BEHALF, WHICH ARISE OR MAY HEREAFTER ARISE FROM MY PARTICIPATION

WITH THE ACTIVITY.

ASSUMPTION OF THE RISK:

I acknowledge and understand the following:

1. Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19.

While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist;

2. I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising

from the negligence or fault of the Released Parties; and

3. I hereby knowingly assume the risk of injury, harm and loss associated with the Activity, including any injury, harm

and loss caused by the negligence, fault or conduct of any kind on the part of the Released Parties.

BY ATTENDING AND/OR PARTICIPATING IN THE ACTIVITY, YOU ARE DEEMED TO HAVE GIVEN A FULL RELEASE OF

LIABILITY TO THE RELEASED PARTIES TO THE FULLEST EXTENT PERMITTED BY LAW.

____ I have read the document above and agree to its terms.

____I agree to wear a mask while in indoor spaces with the exception of times when I am eating/drinking. I realize I will be asked to leave the conference without a refund if I do not follow this safety protocol.

COVID Testing 

Locations for COVID testing, including rapid tests, can be found at https://www.coronavirus.in.gov/.

Spring Mill State Park is near Bedford, Lawrence County (zip code 47446).  The nearest rapid test locations may be in the surrounding counties.