Apr 08

YMCA Liability Waiver

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YMCA Liability Waiver

To download free Liability waiver form in PDF, please click YMCA Liability Waiver


YMCA OF SILICON VALLEY
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
IN CONSIDERATION of being permitted to utilize the facilities, services and programs of the YMCA (or for
my children to so participate) for any purpose, including, but not limited to observation or use of facilities
or equipment, or participation in any off-site program affiliated with the YMCA, the undersigned, for himself
or herself and such participating children and any personal representatives, heirs, and next of kin, hereby
acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will,
inspect and carefully consider such premises and facilities or the affiliated program. It is further warranted that
such entry into the YMCA for observation or use of any facilities or equipment or participation in such affiliated
program constitutes an acknowledgment that such premises and all facilities and equipment thereon and such
affiliated program have been inspected and carefully considered and that the undersigned finds and accepts
same as being safe and reasonably suited for the purpose of such observation, use or participation by the
undersigned and such children.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE YMCA FOR ANY PURPOSE INCLUDING, BUT
NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY OFF-SITE
PROGRAM AFFILIATED WITH THE YMCA, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:
1. THE UNDERSIGNED, ON HIS OR HER BEHALF AND BEHALF OF SUCH CHILDREN, HEREBY RELEASES, WAIVES,
DISCHARGES AND CONVENANTS NOT TO SUE the YMCA, its directors, officers, employees, and agents
(hereinafter referred to as “releases”) from all liability to the undersigned or such children and all his personal
representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands therefore on
account of injury to the person or property or resulting in death of the undersigned, whether caused by the
negligence of the releases or otherwise while the undersigned or such children is in, upon, or about the premises
or any facilities or equipment therein or participating in any program affiliated with the YMCA.
2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releases and each
of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned or such
children in, upon or about the YMCA premises or in any way observing or using any facilities or equipment of the
YMCA or participating in any program affiliated with the YMCA whether caused by the negligence of the releases
or otherwise.
3. 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 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 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.
I HAVE READ THIS RELEASE.
__________________________________________________________ __________________________________________________________
Signature of Applicant/Parent Date Print Name of Child in Program Date
__________________________________________________________ __________________________________________________________
Print Name of Applicant/Parent Date Print Name of Child in Program Date
__________________________________________________________ __________________________________________________________
Signature of Applicant/Parent Date Print Name of Child in Program Date
__________________________________________________________ __________________________________________________________
Print Name of Applicant/Parent Date Print Name of Child in Program Date

Apr 08

Generic Liability Waiver

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Generic Liability Waiver

To download free Liability waiver form in PDF, please click Generic Liability Waiver



RELEASE AND WAIVER OF LIABILITY,
ASSUMPTION OF RISK AND IDEMNITY AGREEMENT
__________________________________________ ____________________
DESCRIPTION AND LOCATION OF SCHEDULED EVENT(S) DATE RELEASE SIGNED
IN CONSIDERATION of being permitted to compete, officiate, observe, work for, or participate in any way in the EVENT(S) or being permitted to enter for any purpose any RESTRICTED AREA (defined as any area requiring special authorization, credentials, or permission to enter or any area to which admission by the general public is restricted or prohibited), EACH OF THE UNDERSIGNED, for himself, his personal representatives, heirs, and next of kin:
1. Acknowledges, agrees, and represents that he has or will immediately upon entering any of such RESTRICTED AREAS, and will continuously thereafter, inspect the RESTRICTED AREAS which he enters, and he/she further agrees and warrants that, if at any time, he is in or about RESTRICTED AREAS and he feels anything to be unsafe, he will immediately advise the officials of such and if necessary will leave the RESTRICTED AREAS and/or refuse to participate further in the EVENT(S).
2. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the EVENT(S), premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions, or instructions or engage in risk evaluation or loss control activities regarding the premises or EVENT(S) and each of them, their directors, officers, agents and employees, all for the purpose herein referred to as “Releasees,” FROM ALL LIABILITY TO THE UNDERSIGNED, his personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELTED TO THE EVENT(S), WHETHER CAUSED BY THE NEGLIENCE OF THE RELEASEES OR OTHERWISE.
3. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST they may incur arising out of or related to the EVENT(S) WHETHER CAUSED BY THE NEGLIENCE OF THE RELEASEES OR OTHERWISE.
4. HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.
5. HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED, also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.
6. HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the Province or State in which the Event(s) is/are conducted 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 THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETEAND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
ALL SECTIONS MUST BE COMPLETED.
SAE NUMBER PRINT NAME HERE SIGN NAME HERE DUTIES DL HI
________________________________________ 400 Commonwealth Drive Warrendale, PA 15096
SIGNATURE AND TITLE OF WITNESS ADDRESS OF WITNESS
1155 10/03

Apr 08

Volunteer Liability Waiver

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Volunteer Liability Waiver

To download free Liability waiver form in PDF, please click Volunteer Liability Waiver



Habitat for Humanity Las Vegas, Inc.
Release and Waiver of Liability
PLEASE READ CAREFULLY!
THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
This Release and Waiver of Liability (the “Release”) is executed on this _____ day of _______________, 20___, by __________________________, (the “Volunteer”), in favor of Habitat for Humanity Las Vegas Inc. and any other Habitat for Humanity affiliated organization, and their respective directors, officers, trustees, employees, volunteers and agents (collectively, the “Released Parties”).
I, the Volunteer, desire to work as a volunteer for one or more of the Released Parties and engage in the activities related to being a volunteer (“Activities”). I understand that my Activities may include but are not limited to the following: working in Habitat for Humanity offices or Habitat for Humanity ReStore operations; traveling to and from work sites, towns, cities or countries; consuming food available or provided; living in housing provided for volunteers; constructing and rehabilitating residential buildings; and other construction-related activities.
I, the Volunteer, hereby freely, voluntarily and without duress execute this Release under the following terms:
Release and Waiver. I, the Volunteer, do hereby release and forever discharge and hold harmless the Released Parties and their successors and assigns from any and all liability, claims and demands which I or my heirs, assigns, next of kin or legal representatives may have or which may hereinafter accrue with respect to any bodily injury, personal injury, illness, death or property damage which arise or may hereafter arise from or is in any way related to my Activities with any of the Released Parties, whether caused wholly or in part by the simple negligence, fault or other misconduct, other than intentional or grossly negligent conduct, of any of the Released Parties or of other volunteers.
I understand and acknowledge that by this Release I knowingly assume the risk of injury, harm and loss associated with the Activities. I also understand that the Released Parties do not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance in the event of injury, illness, death or property damage.
It is the policy of Habitat for Humanity that children under the age of 16 are not allowed on Habitat for Humanity worksites while construction is in progress. It is further the policy of Habitat for Humanity that, while minors between the ages of 16 and 18 may be allowed to participate in construction work, using power tools, excavation, demolition, working on rooftops and similar activities are not permitted for anyone under the age of 18.
Medical Treatment. I, the Volunteer, do hereby release and forever discharge the Released Parties from any claim or action whatsoever which arises or may hereafter arise on account of any first aid, treatment or service rendered in connection with my Activities with any of the Released Parties.
If the Volunteer is less than 18 years of age, the Volunteer and the parents having legal custody and/or the legal guardians of the Volunteer (the “Guardians”) also hereby release and forever discharge the Released Parties from any claim whatsoever which arises or may hereafter arise on account of the decision by any representative or agent of the Released Parties to exercise the power to consent to medical or dental treatment as such power may be granted and authorized in a Parental Authorization for Treatment of a Minor Child.
Assumption of the Risk. I, the Volunteer, understand that my Activities may include work that may be hazardous to me, including, but not limited to, the following: construction; loading and unloading; travel to and from the work sites; and exposure to lead, asbestos, and mold, which may cause or worsen certain illnesses, especially if I do not wear protective equipment, am exposed for extended periods of time, or have a pre-existing immune system deficiency.
I also understand there is some inherent risk in consuming local foods and living in local accommodations in the city(ies) or country(ies) visited. I further understand I may be traveling to and from locations where there is a risk of terrorism, war, insurrection, criminal activities, inclement weather or other circumstances that could threaten my health or safety. I also understand that it is the policy of the Released Parties to not pay ransom or make any other payments to secure the release of hostages.
I hereby expressly and specifically assume the risk of injury or harm in the Activities and release the Released Parties from all liability for any loss, cost, expense, injury, illness, death or property damage resulting directly or indirectly from the Activities.
Insurance. I, the Volunteer, understand that, except as otherwise agreed to by the Released Parties in writing, the Released Parties are under no obligation to provide, carry or maintain health, medical, travel, disability or other insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own health, medical, travel, disability or other insurance coverage.
Photographic Release. I, the Volunteer, do hereby grant and convey unto Habitat for Humanity International, Inc., all right, title and interest in any and all photographs and video or audio recordings of or including my image or voice, made by any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such photographs or recordings for any purpose and to any royalties, proceeds or other benefits derived from them.
Other. I, the Volunteer, expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the state where the Activities take place. I further agree that in the event any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release does not prevent the exercise of any other right.
To express my understanding and agreement with this Release, I sign here with a witness.
Volunteer: Name (please print): __________________________ Signature: _________________________________
Address: _____________________________________________________________________________________________
Phone: (H) _________________ (C) ________________ E-mail: ________________ Date of Birth: _________________
Witness: Name (please print): ___________________________ Signature: ___________________________________
IMPORTANT: If the Volunteer is less than 18 years of age, all parents or guardians must also sign this Release and Waiver of Liability with a witness. Also, all parents or guardians must complete the “Parental Authorization for Treatment of, and Travel With, a Minor Child” on the following page. If only one parent or guardian executes this Release on behalf of a Volunteer who is under 18 years of age, then the undersigned parent or guardian of the Volunteer hereby covenants, warrants, represents and agrees that he or she is executing this Release on behalf of, and as an agent for, any other individual who may be a parent or guardian of the Volunteer, and that by executing this Release, the undersigned is binding himself/herself, the Volunteer, and any other parent or guardian of the Volunteer, and all of their heirs, executors, personal representatives, assigns and estates to this Release.
Parent/Guardian: Name (please print): _______________________ Signature: _________________________
Address: _________________________________________________________________________________________
Witness: Name (please print): __________________________________ Signature: ________________________
Parent/Guardian: Name (please print): ________________________ Signature: ________________________
Address: _________________________________________________________________________________________
Witness: Name (please print): ______________________________ Signature: ____________________________
EMERGENCY CONTACT INFORMATION
Name: __________________________________________ Relationship: ______________________________________
Address: ___________________________________________________________________________________________
Phone: (H) _______________________ (C/W) _______________________ E-mail: _____________________________
IF APPLICABLE:
 School/Organization (no abbreviations please): ____________________________________________________________
 Host Affiliate Site: ____________________________________________________________________________________

Apr 08

Volleyball Liability Waiver

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Volleyball Liability Waiver

To download free Liability waiver form in PDF, please click Volleyball Liability Waiver



USU Volleyball TEAM Camp 2014 –
(Each player must provide a copy of this form at check in)
Insurance and Liability Waiver:
 I understand that I am required to have accidental medical coverage for the child listed on this waiver, and I verify that the information provided on this form is accurate and true.
 I understand and agree that if I do not have accidental medical coverage for the child listed on this waiver, I will be financially responsible for all charges and fees incurred in the rendering of said treatment.
 In case of an injury, I authorize the staff of Utah State University to render first aid.
 I understand that at the discretion of the camp supervisor and staff my child may be dismissed from the camps without refund for inappropriate behavior.
 I understand that at the conclusion of the scheduled camp time the program and staff are no longer responsible for my child.
 I give permission to use, reprint and produce any photographs or videos taken of me or my child and written materials supplied by me or my child in the form of evaluation during the youth sports program.
 I herby authorize the USU Volleyball Team Camp 2014 staff to act for me in case an emergency and waive and release USU Volleyball Team Camp 2014 coaches, clinicians and Utah State employees and staff from any and all liability and for any injuries and illness occurred while at camp:
__________________________________________
Parent/Guardian Signature
_________________________________________ __________________________________________
Insurance Company Policy Number
__________________________________________ __________________________________________
Emergency Contact Phone Number Emergency Contact
(Ok to duplicate as needed)

Apr 08

Visa Liability Waiver Program

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Visa Liability Waiver Program

To download free Liability waiver form in PDF, please click Visa Liability Waiver



Visa Liability Waiver Program Benefits:

Extensive coverage:
—up to $100,000 per cardholder if you have five or more valid cardholders —up to $5,000 per cardholder if you have one to four valid cardholders

Automatic enrollment

No deductible and no extra cost

No maximum cap per company

Coverage of cash advances, officers, and ghost accounts

Simplified claim procedures
Open up to Visa Liability Waiver Program details.

Apr 08

Sports and Recreation Liability Waiver

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Sports and Recreation Liability Waiver

To download free Liability waiver form in PDF, please click Sports and Recreation Liability Waiver



SPORTS AND RECREATION CENTER
AGREEMENT AND RELEASE OF LIABILITY
In consideration of becoming a member or being allowed to participate in the activities and programs of WPI’s Sports and
Recreation Center (hereafter Sports and Recreation Center) and to use its facilities and equipment, I do hereby for myself,
my heirs, executors and administrators, waive, release, and forever discharge Worcester Polytechnic Institute (hereafter
WPI), its’ employees and agents, from any causes of action, claims, liabilities or demands of any nature whatsoever, including
but not limited to a claim of negligence, for personal injury, bodily injury, property damage, death or accident of any
kind, arising out of or in any way relating to my participation in activities or programs, and/or use of equipment or facilities
in the Sports and Recreation Center, whether by the negligence of WPI or otherwise. I further agree not to sue, and agree
to indemnify and hold harmless WPI from any and all causes of action, claims, demands, losses or costs, including attorneys’
fees, of any nature whatsoever arising out of or in any way relating to my participation in activities or programs, and/
or use of equipment or facilities in the Sports and Recreation Center. (Please initial ________ )
I understand and am aware that strength, flexibility and aerobic exercises, including the use of exercise equipment and any
Sports and Recreation Center facility, are potentially hazardous activities. I also understand that physical fitness activities
involve a risk up to and including death and that I am voluntarily participating in these activities and using equipment and
facilities with knowledge of the dangers involved. I do hereby declare that I do not pose a significant risk to my or others’
health and safety in my pursuit of physical activity in the Sports and Recreation Center, including use of equipment and/
or facilities and/or participation in activities or programs. I acknowledge that I have either had a physical examination
and have been given my physician’s permission to participate or that I have decided to participate in activity and/or use
of equipment and facilities without the approval of my physician; in either case, I do hereby voluntarily assume all risks and
responsibility for my participation in activities and utilization of equipment and facilities. I agree to limit my participation to
reflect my personal fitness level. I hereby agree to expressly assume and accept any and all risk of injury and/or death. I
further agree that if I do not act in accordance with this agreement and with the rules and regulations governing usage of
the Sports and Recreation Center I may not be permitted to continue to use the facilities or participate in any activities or
programs. (Please initial______ )
I hereby consent to and permit emergency treatment in the event of illness or injury while using the equipment or facilities
and/or while participating in the activities and programs of the Sports and Recreation Center facilities. (Please initial
_________ )
My signature below indicates that I have read, understood, and freely signed this agreement. I further certify that I am
at least eighteen years of age, or, if under eighteen years of age, my parent or legal guardian has signed on my behalf,
and that I am otherwise legally competent to sign this agreement. I further understand that the terms of this agreement are
legally binding. This agreement shall be construed and enforced in accordance with the laws of the Commonwealth of Massachusetts,
and I consent to the jurisdiction of said state. If any portion of this agreement is held invalid, it is agreed that the
balance shall continue in full legal force and effect. (Please initial _______ )
1.
2.
3.
4.
I have read and understand the above provisions and agree to be bound by them, as indicated by
my signature below.
___________________________________ _______________________________________________
Signature Parent or Guardian Signature (if participant under 18)
Print Name_____________________________ Print Name_________________________________________
Date_________________________________ Date ____________________________________________
I will be at WPI during the following dates _______________________________________________________
NOTE: All Sports and Recreation Center users must read and sign this form. Individuals under 18 must also have a legal guardian read and sign. Children under 14 years of age
are not eligible to utilize the facilities other than for special events or programs.

Apr 08

Snow Tubing Liability Waiver

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Snow Tubing Liability Waiver

To download free Liability waiver form in PDF, please click Snow Tubing Liability Waiver


SNOW TUBING LIABILITY WAIVER AND AGREEMENT
By signing this agreement, I acknowledge that I understand that snow tubing is
hazardous and may result in serious injury, perhaps even death. By signing this
agreement I acknowledge that I have read this liability waiver and agreement and that I
am waiving any claim as set forth herein for myself and those minor children for whom I
am guardian or acting in loco parentis. In consideration of being permitted to purchase a
ticket and use the snow tubing facilities, I hereby release, waive, discharge and covenant
not to sue Hawksnest SnowTubing, Inc., Hawksnest Zip Line, Inc. their employees,
officers, directors, managers and representatives from all liability to me, the minor
children for whom I am guardian or acting in loco parentis, and my and their personal
representatives, assigns, heirs and next of kin from any and all loss or damage including
personal injury and/or death and any claims or demands therefore on account of injury
whether caused by negligence of those being released herein or otherwise while I or those
in my charge are in or upon the snow tubing facilities, the parking lot, and all property
owned by those herein being released. I hereby agree to fully assume the inherent risk
and full responsibility of bodily injury, death or property including harm due to the
negligence of those being released herein and assume the risk on behalf of those for
whom I am guardian and/or acting in loco parentis while in or upon the property of those
being released herein. I acknowledge and agree that there are inherent risks of serious
bodily injury and/or death and the purpose of this liability waiver and agreement is to be
as broad and inclusive as permitted by the law of the state of North Carolina and that if
any portion hereof be held invalid, I do expressly agree that the balance shall
notwithstanding, continue in full legal force and effect. I further agree to the irrevocable
and unrestricted right to use and publish photographs of me and those minors in my
charge, or in which I may be included, for editorial trade, advertising, and any other
purpose and in any manner and medium.
Initials ______I further agree to follow instructions of Hawksnest signs and
employees while understanding I am an active participant during snow tubing
session and make sure those minor children for whom I am guardian and/or
loco parentis know and follow Hawksnest signs and instructions of Hawksnest
employees.
The undersigned has read and voluntarily signs this Snow Tubing Liability
Waiver and Agreement on behalf of myself and all minor children for whom I am
guardian and/or acting in loco parentis.
Signature
Printed Name
Date
Names of and ages of Family members and all minor children for whom I am guardian
and/or acting in loco parentis utilizing these tickets:

Apr 08

Participant Liability Waiver

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Participant Liability Waiver

To download free Liability waiver form in PDF, please click Participant Liability Waiver



PARTICIPANT AND LIABILITY WAIVER AGREEMENT
Participant Name:_______________________________________Birth Date:_______________Phone #_______________________
Street:__________________________________________________email:____________________________________
City:___________________________________________State:_____________________________________________
Emergency Contact Name/Reationship____________________________ ________________Emergnecy contact Phone#___________________
User Terms and Conditions
1.
Red Rock Climbing Center and any of its employees, directors, officers, agents, representatives, or assigns (hereinafter “RRCC”) reserves the rights in its sole discretion to refuse entry, or to remove any user (“participant”) including his/her Guest from RRCC’s property (the “Facility”) or from participation in any activity organized by RRCC for any reason whatsoever. Any such refusal of entry or removal by RRCC shall be its sole discretion.
2.
RRCC shall not be responsible for the safekeeping, loss, theft, or damage of any participant’s property or the property of any guest that is brought into the facility.
3.
Participant shall comply with and observe all rules and regulations of RRCC and the terms and conditions of this agreement at all time and shall assure that his/her Guest(s) complies with and observes the same.
4.
Any delay or failure by RRCC to exercise its rights and/or remedies under this agreement does not constitute a waiver of any such right or remedy.
5.
The terms and conditions herein (as amended from time to time) constitutes the entire agreement between the participant and RRCC regarding the participants use of the facility and super cedes all previous agreements, understandings and arrangements, written or oral between the participant and RRCC in relation to such matters.
6.
In the event of an emergency, RRCC is authorized to notify the person(s) listed under participant’s emergency contact information.
RRCC Liability Waiver
I (participant) understand that roped climbing, bouldering, and other activities now available or that may become available at the Facility in their various forms, as well as preparation for participating in, coaching, or spotting, volunteering, and all other aspects involved with these activities (collectively referred to hereinafter as “Activities”) are inherently dangerous activities involving many Risks,Dangers and Hazards. These risks, Dangers and hazards include, but are not limited to, falling, collisions with objects, people or structures, being struck by other participants or objects (including loose holds and or climbing equipment), breaking, or spinning hand holds, unexpected and uncontrolled falls, uneven padding or other facility that may exacerbate or contribute to dangerous falls, equipment failure, the actions of other participants including negligence, or inexperience of the Participants partner(s), overuse injuries, the aggravation of preexisting conditions, or other foreseeable or unforeseeable events and circumstances. I understand that INJURIES OF ALL TYPES ARE A COMMON AND ORDINARY OCCURRENCE of the activities. I know that the risk of SEVERE INJURY and even DEATH exist in the participation activities. I also understand that maintenance of the Facility and equipment, training, coaching, instruction, supervisors, enforcement or lack thereof of any rules or regulations, route setting, or any added safety measures (hereinafter “Associated Activities”) by RRCC, its subsidiaries, affiliates, officers, directors, employees, volunteers, agents, coaches, instructors, contractors, representatives, competition organizers, and sponsors and equipment providers do not and cannot gurantee my safety.
I (Participant) hereby represent that I am fit and suffer from no adverse health condition or effect that would limit my ability to participate in any Activities offered by RRCC.
I (Participant) hereby represent that any of my own equipment that I use at the facility is safe and in no way shall RRCC be liable for any damage caused to myself or a third party for any failure of any such equipment.
I (Participant) hereby represent that I have conducted a thorough visual inspection of the Facility and equipment I will be using and I am aware of any potential hazards associated with the Facility and/or such equipment.
With full knowledge and understanding of the RISK OF SEVERE INJURY AND DEATH involved in the activities and the Associated Activities. I FREELY AND VOLUNTARILY ACCEPT AND FULLY ASSUME THE RISK THAT I MAY SUFFER TEMPORARY, PERMANENT OR EVEN FATAL INJURIES, even if I follow the instructions or advice of RRCC.
INITIALS_______________
RED ROCK CLIMBING CENTER PARTICIPANT AND LIABILITY WAIVER AGREEMENT RELEASE
In consideration of RRCC acceptance of my membership application or day use of the Facility, and in spite of the risk of severe or permanent injury, or even death, the
undersigned agrees as follows.
1. I (Participant) hereby unconditionally WAIVE AND RELEASE ANY AND ALL CLAIMS AND CLAUSES OF ACTION OF ANY KIND OR NATURE AGAINST RRCC,
AND ANY MANUFACTURERS OR DISTRIBUTORS OF EQUIPMENT USED BY RRCC, RELATED IN ANY WAY TO THE ACTIVITIES OR THE ASSOCIATED
ACTIVITIES. THIS WAIVER AND RELEASE INCLUDES BUT IS NOT LIMITED TO ANY SUCH CLAIMS OR CAUSES OF ACTION, present or future, related to injury
(including DEATH) suffered by any person from or in connection with participant engaging in any Activities and from Associated Activities due to any cause
whatsoever, INCLUDING NEGLIGENCE and/or breach of if express or implied warranty on the part of RRCC.
2. Participant agrees to hold harmless, defend, and indemnify RRCC from any claim or action, present or future, related to injury or damage to participant
his/her property or to any other person or property, for any loss, damage, expense or injury (including DEATH) suffered by any person from or in
connection with Participant’s participation in any Activities or Associated Activities, due to any cause whatsoever including negligence and/or breach of
express or implied warranty on the part of RRCC.
3. Participant hereby RELIEVES RRCC OF ANY DUTY TO PROTECT PARTICIPANT FROM HARM in connection with any Activities, or Associated Activities in
which RRCC is involved in any way.
4. In the event Participant does suffer any type of damages or injury, Participant shall notify RRCC immediately of any such occurrence or cause.
5. Participant authorizes RRCC to stabilize, obtain medical care for, or transport him/her to a medical facility or hospital if, in the opinion of RRCC medical
attention is required and Participant is unable to make such decisions for himself/herself. Participant agrees to pay all cost associated with such medical
care and related transportation and shall DEFEND, INDEMNIFY, AND HOLD HARMLESS RRCC of and from the consequences of such decisions and from
any such cost incurred relating to the provision of medical care.
6. This liability Waiver shall continue in effect in perpetuity so that each time a Participant or member uses the Facility or participates in any Activity from this
date this waiver is signed forward he/she shall be bound by the terms and conditions herein.
7. If any provision of this agreement or the application of any such provision to any person or circumstance is held invalid, the remainder of this agreement,
and the application of such provision other than to the extent it is held invalid, will not be invalidated or affected hereby.
8. This agreement shall be construed in accordance with, and governed by the substantive laws of the State of Nevada, without reference to principles
governing choice or conflicts of laws. In addition, participant agrees not to sue or make claim against any above-mentioned parties, and that any action or
claims relating in any way to this Agreement, the rights conferred hereby or the use of the facility, including claims for personal injury or related loss must
be resolved in Nevada district courts. The party prevailing in and such case shall be entitled to recover its cost including attorney’s fees, and expert witness
fees.
HAVING CAREFULLY READ THE FOREGOING AND UNDERSTANDING IT TO BE A LEGALLY
BINDING RELEASE AND INDEMNITY AGREEMENT, PARTICIPANT SIGNIFIES HIS/HER
ASSENT TO THE ABOVE TERMS BY SIGNING BELOW:
SIGNATURE_____________________________________Date__________________
SIGNATURE OF PARENT OR LEGAL GAURDIAN REQUIRED FOR PARTICIPANTS UNDER THE AGE OF 18
As the parent or legal guardian of the minor participant named above, AIl hereby make and enter into each and every agreement, representation, waiver
and release described above on behalf of myself, Participant, and any other parent or legal guardian of the participant, intending that they be binding on
me, the Participant, and our respective heirs, executors, personal representatives, administrators, and assigns. By affixing my signature below I represent
that I intend to give up my right of Participant, and the right of any other parent or guardian or person to maintain any claim or suit against RRCC arising
out of Participant’s participation in any Activities or related in any way to the Associated Activities. I further agree to hold harmless, defend, and indemnify
RRCC of and from any claims from third parties arising from or related to the minor child participant’s participation in any Activities or Associated
Activities.
Parent or Legal Gaurdian’s
Signature:________________________________________Date___________________
Printed Name_____________________________________

Apr 05

Paintball Liability Waiver

Liability Waiver Comments Off on Paintball Liability Waiver

PAINTBALL WAIVER OF LIABILITY

To download free Liability waiver form in PDF, please click Paintball Liability Waiver



Waiver and Release of Liability
16169 Southern Blvd Loxahatchee, FL 33470 (561) 798-4717
In consideration of Hotshots Paintball furnishing services and/or equipment to enable me
to participate in paintball games, I agree as follows:
I fully understand and acknowledge that; (a) risks and dangers exist in my use of Paintball equipment and
my participation in Paintball activities; (b) my participation in such activities and/or use of such equipment
may result in my injury or illness including but not limited to bodily injury, disease strains, fractures,
partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that
could cause serious disability; (c) these risks and dangers may be caused by the negligence of the owners,
employees, officers or agents of Hotshots Paintball; the negligence of the participants, the negligence of
others, accidents, breaches of contract, the forces of nature or other causes. These risks and dangers may
arise from foreseeable or unforeseeable causes; and (d) by my participation in these activities and/or of
equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages
whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers,
employees of Hotshots Paintball, or any other person.
I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive,
discharge, hold harmless, defend and indemnify Hotshots Paintball and it’s owners, agents, officers and
employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death,
loss of services or otherwise which may arise out of my use of Paintball equipment or my participation in
Paintball activities. I specifically understand that I am releasing, discharging and waiving any claims or
actions that I may have presently or in the future for negligent acts or other conduct by the owners, agents,
officers or employees of Hotshots Paintball.
Medical Permission Authorization
If the participant is of minority age, the undersigned parent or guardian hereby gives permission for
Hotshots Paintball to authorize emergency medical treatment as my be deemed necessary for the child
named below while participating in paintball games.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT
AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE HOTSHOTS
PAINTBALL FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE
OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
Name: __________________________________ Date: _________ D/O/B: ________
Address: ___________________________________ City: ______________________
State: ___________ Zip Code: ________________ Email: _______________________
Signature: _______________________________
(If Participant is Under the age of 18)
Parent Signature: _________________________________________ Date: _________
Emergency Phone #: ____________________________

Apr 05

Owner Liability Waiver

Liability Waiver Comments Off on Owner Liability Waiver

Owner Liability Waiver

To download free Liability waiver form in PDF, please click Owner Liability Waiver


OWNER LIABILITY WAIVER AND HEALTH CERTIFICATION
Dogtown Cincinnati, LLC
2519 Burnet Ave
Cincinnati, OH 45219
I, ___________________________, hereby certify that my pet(s) and all future pets I bring to this facility is/are in good health and has/have not been ill with any communicable condition in the last 10 days. I further certify that my pet(s) any and all future pets that I bring to this facility have not harmed or shown aggressive/threatening behavior towards any person or animal. I understand that although Dogtown Cincinnati provides a supervised social environment for pets, animals are not children and may sometimes fight without warning, and come home with cuts, scrapes, and illnesses from time to time, EVEN IF THEY ARE PROPERLY VACCINATED. If deemed a safety risk, staff may decide at any time for any reason to prohibit my pet from using Dogtown Cincinnati’s cage-free services. I have read and understand the following:
1. I understand that I am solely responsible for any harm caused by my pets(s) while my pets(s) is/are attending Dogtown Cincinnati.
Initial Here _____
2. I further understand and agree that in admitting my pet(s) to this facility, Dogtown Cincinnati’s staff have relied on my representation that my pet(s) is/are in good health and has/have not harmed or shown aggressive or threatening behavior toward any person or any other animal of the same species.
Initial Here _____
3. I further understand and agree that Dogtown Cincinnati and their staff will not be liable for any problems that develop in our care, and I hereby release them of any liability of any kind whatsoever from my pet’s/pets’ attendance and participation at Dogtown Cincinnati. I understand that bringing my pet to daycare is a risk that I am taking.
Initial Here _____
4. I further understand and agree that animals in Dogtown Cincinnati’s care can sometimes receive cuts and scratches at play with other animals and any problems that develop with my pet(s) will be treated as deemed best by the staff of Dogtown Cincinnati, at their sole discretion, and that I assume full financial responsibility for any and all expenses involved. I also understand that my pet may go through an adjustment period when starting services where his/her immune system is being built up against exposure to normal bacteria and viruses and may also experience tender paw pads. I will communicate any problems with a Dogtown Cincinnati staff member so that my pet can receive the proper and complimentary care to his/her pads while attending daycare.
Initial Here _____
I certify that I have read and understand the policies of Dogtown Cincinnati as set forth on the preceding pages and that I have read and understand the conditions, and statements of this agreement, including the following:
FEES: Fees may be changed at any time and are variable at the discretion of the owner of Dogtown Cincinnati. Members shall be notified of fee changes before any transactions are made on their accounts. Once a period of services is paid for, fees for future services will remain as they were at the date of payment.
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DAYS AND HOURS: Dogtown Cincinnati is a 24-7 business open 365 days per year. Dogtown Cincinnati’s doors will be locked when there are dogs sleeping, and/or when it is dark, or if we have to go in the back for any reason. In this case, you may either ring our doorbell or call our easy to remember phone number 513-241-DOGS (3647.)
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RESERVATIONS: Reservations are not required for daycare, but are appreciated. Boarding must be scheduled beforehand. There will be a $20 dollar fee per pet if boarding reservations are cancelled less than 72 hours prior to the stay.
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ILLNESS OR INJURY: Owners should contact Dogtown Cincinnati right away if their dog has an illness or injury. If you are keeping your dog home for sickness, we would like to know, even if your dog is not going to be coming in so that we can assess any contagious bugs that may be going around.
Initial Here _____
MEDIA: I hereby authorize Dogtown Cincinnati to use my pet(s) in any photography, video, or other media on their website or for any other marketing or training materials whatsoever. All materials using my pet(s) are the sole property of Dogtown Cincinnati.
Initial Here _____
FEEDBACK: If anything goes wrong at Dogtown Cincinnati such as illness, injury, or unacceptable service, I will contact the owner or manager about the problem. If we are doing something wrong, or if something went wrong, we want to know so that we can prevent it from happening in the future and will greatly appreciate any feedback.
Initial Here _____
Owner’s Name Printed: __________________________________________
Owner’s Signature: ______________________________________________ Date: _________________
This form must be filled out by any and all Owners who will be bringing animals into Dogtown Cincinnati’s Facility.

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