BNI Acknowledgment and Acceptance of Risk for COVID - 19 - Mississippi Question Title * 1. BNI Chapter Name GC BNI Catalyst GT Best City BNI GT BNI Premier Connections GT BNI Business Connections GT Friendly City BNI JX Business Connections JX Madison-Ridgeland BNI JX Profit Builders BNI JX Referral Connection of BNI JX S.M.A.R.T. BNI PB Southern Business Development of BNI Question Title * 2. Acknowledgment and Acceptance of RiskThe novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. While BNI has taken the appropriate steps to mitigate the risk of COVID-19 being transmitted at the BNI Chapter Meeting, BNI cannot prevent you from becoming exposed to, contracting, or spreading COVID-19 as a result of attending a BNI Chapter Meeting. It is not possible to prevent against the presence of the disease. Therefore, if you choose to attend the BNI Chapter Meeting you may be exposing yourself to and/or increasing your risk of contracting and/or spreading COVID-19.Accordingly, I acknowledge that it is my personal and voluntary decision to return to in-person meetings at my Chapter rather than utilizing BNI online as an alternative method of attending the Chapter Meeting. I acknowledge that I understand and freely assume any and all risks of returning to in-person meetings. I further acknowledge that I am not symptomatic for COVID-19 (e.g., cough, shortness of breath, sore throat, fever in last 48 hours, loss of taste or smell, or vomited or had diarrhea within last 24 hours) and have not come into contact with a confirmed case of COVID-19 within the past 14 days, and to the extent that I have been tested for COVID-19, I did not test positive for the virus. I agree not to attend a meeting at my Chapter if I become symptomatic for COVID-19 or within 14 days after I come into contact with a confirmed case of COVID-19. Furthermore, I am not considered a high- risk person to contact and have complications from the COVID-19 disease. Moreover, if at any time I become symptomatic for COVID-19 I will immediately notify my Chapter President to enable my Chapter to participate in any contact-tracing that the local jurisdiction may require. I will discontinue attending in-person meetings at my Chapter for at least 14 days after self-imposed quarantine. In order to attend these in-person meetings I will follow and comply with all directives that the Chapter President may require including, but not limited to, wearing face coverings and maintaining social distancing of at least 6ft from any other Chapter attendee or participant. I further acknowledge that it is my responsibility to review and comply with any government, state, or local directives, advisories, warnings, or any other information regarding COVID-19 and which are directed to individuals, and based on those guidelines I freely assume any and all risks which may accompany those guidelines and/or directives.Waiver, Release, and Hold Harmless shall be binding upon my survivors, heirs, successors, and assigns. I understand and agree that this Waiver, Release and Hold Harmless is a release of liability and I sign it on my own free will.CHOICE OF LAW: I understand and agree that the law of the State of Mississippi will apply to this Release. I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE Question Title * 3. BNI Member Information Name Company Email Address Done