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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.
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