Release And Waiver Of Legal Liability - Ymca Of

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YMCA OF NORTHWEST FLORIDA
MINOR RELEASE
FLORIDA MINOR RELEASE AND WAIVER OF LEGAL LIABILITY
THIS IS YOUR RELEASE AND WAIVER OF LIABILITY (the “Release”). You individually and on
behalf of your minor child, release the YMCA of Northwest Florida, its officers, directors, board members,
employees, volunteers, agents, independent contractors, other participants and/or others acting on its behalf
(collectively, “YMCA”). You agree that this Release is effective immediately.
NOTICE TO THE MINOR CHILD'S NATURAL GUARDIAN
READ THIS FORM COMPLETELY AND CAREFULLY. YOU
ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN
A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE
AGREEING THAT, EVEN IF YMCA USES REASONABLE
CARE IN PROVIDING THIS ACTIVITY, THERE IS A
CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR
KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE
THERE ARE CERTAIN DANGERS INHERENT IN THE
ACTIVITY WHICH CANNOT BE AVOIDED OR
ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING
UP YOUR CHILD'S RIGHT AND YOUR RIGHT TO RECOVER
FROM YMCA IN A LAWSUIT FOR ANY PERSONAL INJURY,
INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY
DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A
NATURAL PART OF THE ACTIVITY. YOU HAVE THE
RIGHT TO REFUSE TO SIGN THIS FORM, AND YMCA HAS
THE RIGHT TO REFUSE TO LET YOUR CHILD
PARTICIPATE IF YOU DO NOT SIGN THIS FORM.
I HAVE READ THE ABOVE WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT:
Participant_____________________________________________________
(if under 18 years old, parents or legal guardians must sign below)
Participant/Parent Signature____________________________________
Date_____________
Participant/Parent Signature____________________________________
Date_____________
DO NOT ALTER FORM IN ANY WAY
Per YMCA and Redwoods Insurance Company
FLMinorRelease rev 8-5-11

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