THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE due to negligence of releasees or otherwise while in, about, or upon the premises of the Camp and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the Camp. THE UNDERSIGNED further expressly agrees that the forgoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of Alabama and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITYAGREEMENT, and further agrees that no oral representations, statements, or inducement apart from the foregoing written agreement have been made. I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE / / / / date participant’s signature date parent’s or guardian’s signature
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE to the undersigned of such Volunteer or participant due to negligence of releasee or otherwise while in, upon or about the premises or any facilities or equipment therein or participating in any program affiliated with The HUSH Foundation and The Denver Bengals Youth Sports Program Association or in any way observing and/or while using any facilities or equipment of or affiliated with The HUSH Foundation and The Denver Bengals Youth Sports Program Association. THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER, AND IDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND IDEMNITY AGREEMENT, and further agrees that no oral representation, statements or inducement apart from the foregoing written agreement have been or will be made. I HAVE READ AND AGREE TO ALL OF THE TERMS OF THIS RELEASE DATE Signature of Applicant or Applicant’s Parent /Guardian
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DE PROPERTY DAMAGE to the undersigned or such children due to negligence of releases or otherwise while in, about or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA. THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of California an that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILIT INDEMNITY AGREEMENT, and further agrees that no oral representations, statements or inducement apart the foregoing written agreement have been made. I HAVE READ THIS RELEASE. Signature of Applicant/ParentDate Print Name of Child in Program Date Print Name of Applicant/Parent Date Print Name of Child in Program Date Signature of Applicant/ParentDate Print Name of Child in Program Date
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE due to the negligence of the releasees or otherwise while the aforesaid minor child of the undersigned is in, about or upon the premises of the LASSEN HOOPS RECREATION PROGRAMS and/or while said minor is using the premises or any facilities or equipment hereon. THE UNDERSIGNED further expressly agrees that the foregoing RELEASE WAIVER AND INDEMNITY AGREEMENT, is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements, or inducement apart from the foregoing written agreement have been made. I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AND AGREE TO ITS TERMS.
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE to the undersigned or such children due to negligence of releasees or otherwise while in, about or upon the premises of The Family YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with The Family YMCA.
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE due to negligence of releasees or otherwise while in, about, or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA. THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the state of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I HAVE READ THE ABOVE WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT. SIGNATURE OF MEMBER / PARTICIPANT SIGNATURE OF PARENT / GUARDIAN DATE CONDITIONS OF PROGRAM PARTICIPATION While the YMCA will make every attempt to provide reasonable accommodations for mentally and physically challenged children, the YMCA will not accept children that are (1) of danger to themselves, (2) of danger to others, or (3) a disruption to the normal activities making it unreasonably difficult for other children to enjoy YMCA programs. Any of the above reasons will be grounds for dismissal from YMCA programs. The YMCA strongly recommends that you discuss with YMCA staff any special conditions or circumstances involving your child. The YMCA requests that the undersigned do this PRIOR to registration so that the YMCA can advise you as to whether we can make reasonable accommodation for your child. The undersigned understands that the YMCA is NOT responsible for personal property lost or stolen while members and/or program participants are using YMCA facilities or on YMCA premises. I give my permission to the YMCA of Florida’s First Coast Inc. to use, without limitation or obligation, photographs, film footage or tape recordings that may include mine and or my family member’s image(s) or voice(s) for purposes of promoting or interpreting YMCA programs. In the event of an emergency and my emergency contact person cannot be reached, the undersigned hereby gives his or her permission to the physician selected by the YMCA to hospitalize, secure proper treatment for, and to order injections, anesthesia or surgery for the individual named on this application. The undersigned understands that no accident or medical insurance is provided with this activity. I UNDERSTAND THE FEE MUST ACCOMPANY THIS APPLICATION AND IS NON-REFUNDABLE EXCEPT FOR VERIFIED MEDICAL REASONS
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE while upon CBD NOW! Collective property or participating in membership activity or by use or possession of any product received as a member of CBD NOW! Collective (including cannabis) whether caused by any negligent act or omission of Releasees or otherwise. The undersigned expressly agrees that the foregoing release and waiver, indemnity agreement and assumption of risk are intended to be as broad and inclusive as permitted by California law.
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE to the undersigned or such children due to the negligence of release or otherwise while in, about or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA. THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. ______ I agree to allow the YMCA to use photos taken for promotional materials or any information items. Intl. here THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements or inducement apart from the foregoing written agreement have been made. I HAVE READ THIS RELEASE Date_______________________ Phone number__________________________ _______________________________________________________________________________________________________________ Print Name (Parent/Guardian) Date of birth Age ________________________________________________________________ Address _________________________________ Signature (Parent/Guardian) __________________________________________ _______________________________________________________________ ______________ Name of Participant (Child) Date of birth Ag Standards of Conduct Checklist The Siskiyou Family YMCA (“The Y”) is dedicated to providing a positive family oriented environment for all who utilize our programs and facilities. Members and visitors are expected to be safe and appropriate in their behavior and to treat others with dignity and respect. Any person who supports the purpose may become a member of this corporation in accordance with such provisions as may be established by the board of directors, and shall so continue be a member unless the Board or its authorized agent includes, in its sole discretion, that a member has failed to live up to the standards and commitments of being a member of the YMCA. To ensure that all who use or visit the YMCA have a safe and enjoyable experience, members must at all times adhere to the following standards of conduct. Any member/visitor who violates any of these standards or otherwise is disruptive or ...
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE due to negligence of release or otherwise while in about or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA. THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of New Jersey and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements or inducement apart from the foregoing written agreement have been made. MEMBER AND PARTICIPANT PROTECTION POLICY We take very seriously the safety and well-being of our members and participants and, to that end, have established policies and procedures that protect people utilizing our programs and facilities. The YMCA reserves the right to deny access or membership to any person. This includes but is not limited to, any person known to have been accused or convicted of any crime involving child abuse, sexual abuse or is a registered sex offender. By signing this form you certify that neither you nor anyone listed has been accused or convicted of a criminal offense listed above.
THE UNDERSIGNED HEREBY ASSUMES. FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE while participating in the Program or using any Club West facilities and equipment whether caused by any negligent act or omission of Releases. The undersigned expressly agrees that this release and waiver, indemnity agreement and assumption of risk are intended to be as broad and inclusive as permitted by California law.
