Skip to content
Menu
My Y App
Portals
Notices
Job Postings
Waivers
Latest News
Promotions & Events
Donate
Search for:
Toggle Navigation
Avalon Peninsula Region
Metro Avalon Peninsula: Ches Penney Family YMCA
Rural Avalon Peninsula: Placentia Regional YMCA
Health, Fitness & Aquatics
Schedules
Program Descriptions
Aquatics
Y@Home+
Courses & Workshops
Birthday Parties and Rentals
Personal Training
Small Steps for Big Changes
Child Care & Day Camps
Child Care
Pre-Kindergarten Program
School Age Child Care
Day Camps
Health, Fitness & Aquatics
Schedules
Program Descriptions
Aquatics
Y@Home+
Courses & Workshops
Birthday Parties and Rentals
Personal Training
Child Care & Day Camps
Pre-Kindergarten Program
Centre Info & Membership
Join Now
About
Location & Hours
Frequently Asked Questions
Membership Cancellation
Employment, Enterprise & Newcomer Services
Business Planning
Newcomer Services and Programs
Enterprise Olympics
Youth for Entrepreneurship
YMCA Community Action Network
Youth Opioid Awareness Program
Team
Contact
Centre Info & Membership
Join Now
About
Location & Hours
Frequently Asked Questions
Membership Cancellation
Employment, Enterprise & Newcomer Services
Business Planning
Newcomer Services and Programs
Enterprise Olympics
Youth for Entrepreneurship
YMCA Community Action Network
Youth Opioid Awareness Program
Team
Contact
Burin Peninsula Region
Marystown YMCA
Health, Fitness & Aquatics
Schedules
Program Descriptions
Aquatics
Y@Home+
Courses & Workshops
Birthday Parties and Rentals
Child Care & Day Camps
Pre-Kindergarten Program
Day Camps
Centre Info & Membership
Join Now
About
Location & Hours
Frequently Asked Questions
Membership Cancellation
Employment, Enterprise & Newcomer Services
Business Planning
Newcomer Services and Programs
Enterprise Olympics
Youth for Entrepreneurship
YMCA Community Action Network
Youth Opioid Awareness Program
Team
Contact
Labrador Region
Central Labrador YMCA
Health, Fitness & Aquatics
Schedules
Program Descriptions
Aquatics
Y@Home+
Courses & Workshops
Birthday Parties and Rentals
Child Care & Day Camps
Child Care
Pre-Kindergarten Program
School Age Child Care
After Day Play
Day Camps
Centre Info & Membership
Join Now
About
Location Hours
Youth Centre
Indoor Rock Climbing Wall
Membership Cancellation
Employment, Enterprise & Newcomer Services
Business Planning
Newcomer Services and Programs
Enterprise Olympics
Youth for Entrepreneurship
YMCA Community Action Network
Youth Opioid Awareness Program
Team
Contact
About Us
About the YMCA
CEO Messages
Board of Directors
Annual Reports
YMCA as a Charity
YMCA Annual Campaign
Financial Assistance
Job Postings
Volunteering
Ways to Donate
Your Impact – YMCA Stories
Ways to Donate
Thank You to Our Donors
Menu
CPFY Assumption of Risk and Waiver of Liability
Hannah Janes
2023-01-24T14:55:13-03:30
CPFY Assumption of Risk and Waiver of Liability
BY SIGNING THIS DOCUMENT, YOU WILL WAIVE CERTAIN LEGAL RIGHTS. PLEASE READ CAREFULLY!
In consideration of the YMCA of Northeast Avalon Inc. (“YMCA-NL”) permitting the individual named below (“I” or “me”) to participate in (the “Activities”) listed below, and for other good and valuable consideration, I agree to all the terms and conditions set forth in this agreement (this “Agreement”). Please indicate if this waiver is for a membership, a short-term pass or a type of rental:
(Required)
Birthday Party (Pool)
Birthday Party (Gym)
Rentals
Memberships
Short-Term Pass (ex. Day Pass)
Date of Rental
MM slash DD slash YYYY
1. ASSUMPTION OF RISKS
(Required)
I am aware and understand that the Activities involve many risks, dangers, and hazards, including but not limited to the risk of serious injury, death, or property damage. I acknowledge that I am voluntarily participating in the Activities. I freely accept and fully assume any and all of the risks, dangers, and hazards involved and the possibility of injury, death, or property damage.
2. WAIVER OF LIABILITY
(Required)
I, for myself and on behalf of my heirs, assigns, personal representatives, and next-of-kin, hereby expressly waive and release any and all claims which I have or may in the future have against YMCA-NL, its affiliates, and their respective directors, officers, employees, agents, representatives, shareholders, successors, and assigns (collectively, the “Releasees”) arising out of or attributable to my participation in the Activities, due to any cause whatsoever. I agree not to make or bring any such claim against YMCA-NL or any other Releasee, and forever release and discharge YMCA-NL and all other Releasees from liability under such claims.
3. SEVERABILITY
(Required)
If any term or provision of this Agreement is held to be 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.
I acknowledge that I have read and understand all of the terms of this Agreement.
(Required)
Participant Name:
(Required)
I, the Participant, am over the age of 19 years old.
(Required)
Yes
No
Parent/Legal Guardian (if Participant is under the age of eighteen):
(Required)
Date
(Required)
MM slash DD slash YYYY
Phone Number
(Required)
Email
(Required)
Parent/Legal Guardian Electronic Signature Agreement
(Required)
By selecting the "I Accept" checkbox, I am signing this agreement electronically. I agree this electronic signature is the legal equivalent of my manual signature on this agreement. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 19 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above. I certify that I am the Parent or Legal Guardian of the above minor. Type Name:
(Required)
Witness Name:
(Required)
Date
(Required)
MM slash DD slash YYYY
Phone Number
(Required)
Email
(Required)
Witness Consent
(Required)
I, the Witness consent that I have read and understand all of the terms of this Agreement.
Δ
Page load link
