Adult General Liability Waiver Form - Manatee Ymca printable pdf download

RELEASE AND WAIVER OF LIABILITY

AND INDEMNITY AGREEMENT

Manatee County Family YMCA, Inc.

In consideration for being permitted to utilize the facilities, services, and programs of the YMCA for any

purpose, including but not limited to observation or use of facilities or equipment, or participation in any

program affiliated with the YMCA, without respect to location, the undersigned, for himself or herself 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 acknowledgement that

such premises and all facilities and equipment thereon and such affiliated programs 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.

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 PROGRAM AFFILIATED WITH THE YMCA, WITHOUT RESPECT TO LOCATION,

THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:

1. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO

SUE the YMCA, its directors, officers, employees, and agents (hereinafter referred to as

“releasees”) from all liability to the undersigned, his personal representatives, assigns, heirs, and

next of kin for any 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, whether caused by the negligence of

the releasees or otherwise while the undersigned is in, upon, or about the premises or any facilities

or equipment therein, or participating in any program affiliated with the YMCA, without respect to

location.

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 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 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 forgoing 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.

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

Participant Name (please print)__________________________________DOB________________________

Date______________________________Participant Signature____________________________________

ID #______________________

Attention: For each of your minor children, you must complete the Florida Minor Release and Waiver

of Legal Liability form.

Adult General Liability Waiver Form - Manatee Ymca

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