104th Annual New Jersey Kiwanis

District  Convention

Friday, August 27th - Sunday, August 29th, 2021

Valley Forge Casino Resort

King of Prussia, PA

 

Please use this form to register online for the convention

Online registration must be completed by 5pm on Friday, August 13, 2021!

 

Our Room Block is now closed, you may contact the hotel to reserve a room.

 

COVID RELEASE FORM AND WAIVER

NJ Kiwanis District Convention

Please note the current COVID-19 Prevention/Health and Safety Measures:

New Jersey Kiwanis has adopted the meeting guidelines of the World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC). We intend to meet or exceed every rule for pre-meeting testing and preparation, follow guidelines for suggested spacing and social distancing during meals and meetings, and offer limited access to only those individuals who need to attend.

  1. All attendees must attest that they have been fully vaccinated as defined by the CDC. "Fully vaccinated" means “I have received my complete vaccine regimen (2 shots for Pfizer, Moderna or AstraZeneca, or 1 shot for Johnson and Johnson), and 14 days or more has passed since my final shot,” or have tested for COVID-19 and received a negative test result within 5 days of the first day that the attendee will be attending meetings.
  2. All attendees attending the meetings shall sign a waiver of COVID-19 claims.
  3. Any attendee who has tested positive in the last 14 days for COVID-19 is prohibited from attending the convention meetings unless they provide proof of two negative tests since contracting COVID-19.
  4. Any attendee who is not fully vaccinated and has been knowingly exposed to an individual who is positive for COVID-19 within 14 days prior to the meetings is prohibited from attending the meetings.
  5. All attendees agree to follow all meeting rules and guidelines established by the State of Pennsylvania, The Valley Forge Casino Resort, and Kiwanis International.
  6. If required, attendees agree to wear face coverings while attending the convention meetings. 
  7. All attendees agree to regularly wash their hands. Hand sanitizer will be supplied at the meetings.
  8. NJ Kiwanis will coordinate with the hotel staff to ensure a thorough cleaning of rooms between meetings.

These Health and Safety Measures are subject to change. (Updated 5/11/21)

Health and safety protocols dictate that each person must separately register for the 2021 NJ Kiwanis District Convention. We're sorry for any inconvenience this may cause.

RELEASE OF LIABILITY AND ASSUMPTION OF RISK

The individual named below (referred to as "I" or "me") are members of Kiwanis International, Inc.  (the "Company") and desire to participate in-person in Kiwanis meetings in August 2021 in King of Prussia, PA. (the "Activity"). As lawful consideration for being permitted by the Company to engage in the Activity, I agree to all the terms and conditions set forth in this agreement (this "Agreement").

I am aware of the highly contagious nature of bacterial and viral diseases including but not limited to the 2019 novel coronavirus disease (COVID-19 (collectively, the "Disease") and the risk that I may be exposed to or contract the Disease by engaging in the Activity. I understand and acknowledge that such exposure or infection may result in serious illness, personal injury, permanent disability, death, or property damage. I acknowledge that this risk may result from or be compounded by the actions, omissions, or negligence of others, including Company employees. I understand that while the Company has implemented preventative measures to reduce the spread of the Disease, the Company cannot guarantee that I will not become infected with the Disease or other infectious diseases while engaging in the Activity and that engaging in the Activity may increase my risk of contracting the Disease. NOTWITHSTANDING THE RISKS ASSOCIATED WITH THE DISEASE, I ACKNOWLEDGE THAT I AM VOLUNTARILY CHOOSING TO ENGAGE IN THE ACTIVITY WITH KNOWLEDGE OF THE DANGER INVOLVED. I HEREBY AGREE TO ACCEPT AND ASSUME ALL RISKS OF PERSONAL INJURY, ILLNESS, DISABILITY, DEATH, OR PROPERTY DAMAGE RELATED TO THE DISEASE, ARISING FROM ENGAGING IN THE ACTIVITY, OR TRAVELING TO PARTICIPATE IN THE ACTIVITY WHETHER CAUSED BY THE NEGLIGENCE OF THE COMPANY OR OTHERWISE.

I hereby expressly waive and release any and all claims, now known or hereafter known, against the Company, and its officers, directors, employees, agents, affiliates, members, successors, and assigns (collectively, "Releasees"), on account of injury, illness, disability, death, or property damage arising out of or attributable engaging in the Activity and being exposed to or contracting the Disease, whether arising out of the negligence of the Company or any Releasees or otherwise. I covenant not to make or bring any such claim against the Company or any other Releasee, and forever release and discharge the Company and all other Releasees from liability under such claims.

I am familiar with federal, state, and local laws, orders, directives, and guidelines related to the Disease, including the Centers for Disease Control and Prevention (CDC) guidance on the Disease. I will comply with all such orders, directives, and guidelines while engaging in the Activity, including, without limitation, requirements related to hand sanitation, social distancing, and use of face coverings. I will also follow all instructions of the Company while engaging in the Activity.  I agree not to participate in the Activity if I am experiencing symptoms of the Disease, such as cough, shortness of breath, or fever, if I have a confirmed or suspected case of the Disease, or have come in contact in the last 14 days with a person who has been confirmed or suspected of having the Disease, unless I have been fully vaccinated as defined by the CDC.  “Fully vaccinated” means that you have received the full vaccine regimen (2 shots for Pfizer and Moderna and 1 shot for Johnson and Johnson), and more than 14 days has passed since your final shot. 

I shall defend, indemnify, and hold harmless the Company and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including reasonable attorney fees, fees, and the costs of enforcing any right to indemnification under this Agreement, and the cost of pursuing any insurance providers, incurred by/awarded against the Company or any other Releasees in a final judgment, arising out or resulting from any claim of a third party related to the Disease due to my engaging in the Activity.

This Agreement constitutes the sole and entire agreement of the Company 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 Agreement is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or provision in any other jurisdiction. This Agreement is binding on and shall inure to the benefit of the Company and me and our respective successors and assigns. All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal laws of the State of INDIANA without giving effect to any choice or conflict of law provision or rule whether of the State of INDIANA or any other jurisdiction.

COVID-19: TEST and RELEASE OF LIABILITY AND ASSUMPTION OF RISK* *
Unfortunately, you must sign the Covid Waiver Release Form and agree to the guidelines set forth for the 2021 NJ Kiwanis District Convention in order to attend.
 
By clicking "next" below, you will be brought to the end of the form and your registration will not go through. Please go back, review and sign the form.

If You Have Any Questions or Concerns, Please Contact:

Convention Chair Rob Acerra at racerra@njkeyclub.org or District Secretary Nancy Hart-Esposito at NJKiwanis@Gmail.com