Willis Carrier Recreation Center: Release and Waiver of Liability
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT.
IN CONSIDERATION of being permitted to participate in any way in the SPORTS activity (“Activity”), I, for myself for personal representatives, assigns, heirs and next of kin:
1.ACKNOWLEDGE, agree and represent that I understand the nature of Sports Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe; I will immediately discontinue further participation in the Activity.
2.FULLY UNDERSTAND THAT: (A) SPORTS ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (B) these risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; (C) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND RESPONSIBILTY FOR LOSSES, COSTS AND DAMAGES that occur as a result of my participation or that of the minor in the Activity.
3.HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE Willis Carrier Recreation Center, Carrier Park or the Town of DeWitt ., their respective administrators, directors, agents, officers, members,, volunteers, and employees, other participants, sponsors, advertisers, and if applicable, owner and lessors or premises on which the Activity takes place (each considered one the “RELEASEES” herein)
FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES, ON MY ACCOUNT, CAUSED OF ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, AND I FURTHER AGREE, that if, despite this release and waiver of liability, assumption of risk, and indemnity and parental consent agreement, I, or anyone on my behalf, makes a claim against any of Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASEES, from any litigation expenses, attorney fees, loss, liability, damage or cost which may incur as the result of such claim.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OF ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
I have agreed to submit this form by electronic means. By signing this form electronically, I certify that my answers are correct and complete to the best of my knowledge.
I also certify that:
- I have read and understand the questions and statements on this form.
- I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
- By checking this box and typing my name below, I am electronically signing this form.