AMATEUR WAIVER AND RELEASE OF LIABILITY ATHLETIC
In consideration of being allowed to participate in
any way in the HIGHLANDS SQUASH CLUB, athletic/sports program,
related events and activities, the undersigned acknowledges, appreciates, and
agrees that:
1. The risk of injury from the activities involved in this
program is significant, including the potential for permanent paralysis and
death, and while particular rules, equipment, and personal discipline may
reduce this risk, the risk of serious injury does exist; and
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and
unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and
assume full responsibility for my participation;
And:
3. I willingly agree to comply with the stated and customary
terms and conditions for my participation. If however I observe any unusual
significant hazard during my presence or participation, I will remove myself
from participation and bring such to the attention of the nearest official
immediately; and
4. I, for myself, and on behalf of my heirs, assigns, personal
representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS The
Highlands Squash Club, their officers, officials, agents, and/or
employees, other participants, sponsoring agencies, sponsors, advertisers, and
if applicable, owners, and lessors of premises used to conduct the event
(“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss
or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES
OR OTHERWISE.
I
HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY
SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
PARTICIPANT’S SIGNATURE:
X_______________________ Date
Signed: __________________
FOR PARTICIPANTS OF MINORITY
AGE
(UNDER AGE 18 AT THE TIME OF
REGISTRATION)
This is to certify that I, as parent/guardian with
legal responsibility for this participant, do consent and agree to his/her
release as provided above of all the Releasees, and, for myself, my heirs,
assigns, and next of kin, I release and agree to indemnify and hold harmless
the Releasees from any kind and all liabilities incident to my minor child’s involvement
or participation in these programs as provided above, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
NAME (please print):
__________________________________________________________________
ADDRESS:
___________________________________________________________________________
PHONE NUMBERS:
HOME:_______________________ BUSINESS:
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