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Highland Hills Non-Resident* Application
Step 1: Fill Out This Application Form
*(Highland Hills residents include those living in the subdivision and along Tuscora Rd., Bendemeer Rd. and on Robert Bruce Dr. between HH and the D
ominion Power lines)

Step 1: Fill Out This Application Form

Release and Waiver of Rights for Members
 

In consideration of my membership with the Pool and facilities at Highland Hills Community Corporation (a/k/a Highland Hills Community Association, hereafter referred to as the “Association”), I release, waive, discharge and hold harmless, the Association, its directors, officers, agents, volunteers and employees (hereafter referred to as “Releasees”) from any cause of action, claim, or demand of any nature, including, but not limited to, a claim of negligence, which I may now have, or may have in the future, against the Releasees, on account of personal injury, property damage, death, or accident of any kind, arising out of, or in any way related to ,my use of the Pool and facilities, however the injury or damage is caused, including, but not limited to, the negligence of the Releasees.  

 

In consideration of my use of the Pool and facilities, I agree to release, waive, discharge and hold harmless, the Releasees from any and all causes of action, claims, demands, losses, or costs of any nature arising out of, or in any way related to, my child’s use of the Pool.  

 

I certify that I have full knowledge of the nature and extent of the risks inherent in my use of the Pool and facilities, and I voluntarily assume the risks.  I understand that I will be solely responsible for any loss or damage, including death, sustained by my child arising out of, or in any way associated with my child’s use of the Pool; and that, as witnessed by my signature to this instrument, the Association is released from any and all liability for such loss, damage, or death.

 

I further certify that I am in good health, and that I have no physical limitations or impairments which would preclude my safe use of the Pool.

 

I acknowledge that the Association is a non profit 501(c)(7) organization, in compliance with United States Internal Revenue Code, and statutes imposed by the Commonwealth of Virginia, and that nothing in this Release and Waiver of Rights shall be construed as a waiver of charitable non profit status and/or benefits designated by the Commonwealth of Virginia.

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2024 Swimming Pool/Facilities 

COVID-19 Participation Agreement, Waiver and Release 

 

Acknowledging that swimming and related physical activities are potentially hazardous, and that sanitation measures cannot guarantee elimination of all risks of contracting the COVID-19 virus, I hereby agree to the following as a condition of use of the Highland Hills Community Association swimming pools, facilities and grounds (“Swimming Pool Facilities”) by me, my family members and all persons authorized to use the Swimming Pool Facilities under my membership (“Authorized Users”): 

 

  • I am at least 18 years of age; 

  • I and the Authorized Users are voluntarily using the Swimming Pool Facilities; 

  • I and the Authorized Users have read and are familiar with the COVID-19 Rules & Policies concerning use of the Swimming Pool Facilities in effect for Summer 2024 (“2024 Rules”) and will read and become familiar with any updates to those rules; 

  • I understand that the 2024 Rules will be strictly enforced, and violation of those rules may result in suspension of individual Authorized Users, or of my entire household; 

  • In the event of a positive COVID-19 test for myself, any person within my residence, or any Authorized User, I or the Authorized User may be denied access to the Swimming Pool Facilities until such time as a proper quarantine period has lapsed without symptoms; 

  • I assume all risks associated with my use of the Swimming Pool Facilities, which risks may include close contact with other Swimming Pool Facilities users, and individuals working for Highland Hills Community Association, exposure to the COVID-19, and sickness, death, and disability related thereto; 

  • I, for myself and the Authorized Users, and my heirs, representatives and assigns, and anyone entitled to act on my behalf, hereby waive, release, and hold harmless Highland Hills Community Association, its Board members, directors, officers, and volunteers (“Releasees”) from all claims relating to COVID-19 arising out of the use of the Swimming Pool Facilities by me or the Authorized Users. 

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Consistent with government and health department guidance, HHCA is implementing numerous measures to decrease the risk of exposure to COVID-19 at the pool. Individuals who are particularly at risk due to their age or health are encouraged to carefully consider their individual situation and error on the side of caution in deciding whether and how to use the pool this summer.

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