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)

Date of Rental

Participant Name:(Required)

I, the Participant, am over the age of 19 years old.(Required)

Yes

Parent/Legal Guardian (if Participant is under the age of eighteen):(Required)

Date(Required)

Phone Number(Required)

Email(Required)

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)

Phone Number(Required)

Email(Required)

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CPFY Assumption of Risk and Waiver of Liability

Ches Penney Family YMCA

Marystown YMCA

Central Labrador YMCA

YMCA NL Administration and Project Offices