I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that by attending the production of the photo shoot (the “Photo Shoot”) for _________ (“Client”), I may be exposed to or infected by COVID-19 and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand and acknowledge that the risk of becoming exposed to or infected by COVID-19 at the Photo Shoot may result from the actions, omissions or negligence of Moonbeach Productions, Inc., its Client and their respective employees, agents, and others.
I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury to myself in connection with the Photo Shoot and agree to indemnify, defend and hold Moonbeach Productions, Inc. harmless from and claim(s) (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liabilities, or expenses, of any kind (collectively the “Claims”), that I may experience or incur in connection with, arising our of or related to my attendance at the Photo Shoot production and hereby release, covenant not to sue, discharge, and hold harmless Moonbeach Productions, Inc. of and from any Claims arising out of or relating thereto, including any Claims based on the actions, omissions, or negligence of Moonbeach Productions, Inc.
I HEREBY CERTIFY AND AFFIRM THAT I HAVE READ THE ABOVE AND I AM EIGHTEEN YEARS OF AGE OR OLDER.
Name: _____________________________ Date: ____________________