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Child Care YMCA Waiver
Darren Fowler
2023-09-05T10:43:51-02:30
Child Care and Day Camp Assumption of Risk and Waiver of Liability (1)
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 which YMCA program and site this waiver will apply to:
(Required)
Licensed Child Care - Ches Penney Family YMCA
Licensed Child Care - Central Labrador YMCA
School Age Child Care - Bishop Feild Elementary
School Age Child Care - Cowan Heights Elementary
School Age Child Care - Elizabeth Park Elementary
School Age Child Care - Holy Trinity Elementary
School Age Child Care - Calvary Baptist
School Age Child Care - Octagon Pond Elementary
School Age Child Care - Paradise Elementary
School Age Child Care - Roncalli Elementary
School Age Child Care - St. Andrew's Elementary
School Age Child Care - St. Peter's Primary
School Age Child Care - St. Teresa's Elementary
School Age Child Care - Vanier Elementary
Pre-Kindergarten - East Point Elementary
Pre-Kindergarten - Elizabeth Park Elementary
Pre-Kindergarten - Peacock Primary
Pre-Kindergarten - Paradise Elementary
Pre-Kindergarten - Bishop Abraham Elementary
Pre-Kindergarten - Bay Roberts Primary
Pre-Kindergarten - Bishop White School
Pre-Kindergarten - Holy Trinity Elementary
Pre-Kindergarten - - Persalvic Elementary
Pre-Kindergarten - Donald C. Jamieson Academy
Pre-Kindergarten - Lake Academy
Pre-Kindergarten - Admirals Academy
Pre-Kindergarten - Topsail Elementary
Pre-Kindergarten - Upper Gullies Elementary
Pre-Kindergarten - Roncalli Elementary
Pre-Kindergarten - Beachy Cove Elementary
Pre-Kindergarten - St. John Bosco School
Pre-Kindergarten - St. Anne's Academy
Pre-Kindergarten - Matthew Elementary
Pre-Kindergarten - A.P. Low Primary
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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