Weightlifting Liability Release and Waiver
I acknowledge that I am participating in an activity that is physically and mentally challenging. In consideration of my participation in this activity while a student at Immanuel Lutheran High School and College, I hereby acknowledge that I am aware of the risks and hazards associated with or related to this sport. The risks and hazards of the sport include, but are not limited to:

~ Injuries from executing strenuous and demanding physical techniques;
~ Injuries from collisions with walls and equipment;
~ Injuries resulting from failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment;
~ Spinal cord injuries which may render me permanently paralyzed;
~ Injuries resulting from vigorous physical exertion and strenuous cardiovascular workouts;
~ Injuries from exerting and stretching various muscle groups; and

Furthermore, I am aware:
~ That injuries sustained in weightlifting can be severe;
~ That I may experience anxiety while challenging myself during the activity;
~ That my risk of injury is reduced if I follow all rules established for participation; and
~ That my risk of injury increases as I become fatigued.

I acknowledge that I am participating voluntarily in this activity. I agree that there are risks in weightlifting as described above, and by participating I am exposed to these risks and hazards. I agree to accept them and be responsible for any injury or other loss which I might receive while participating.

As a result, I hereby release Immanuel Lutheran High School and College and its directors (Board of Regents), administration, officers, supervisors, and other employees, as well as fellow participants from all liability for any loss, damage, injury, or expense that I may suffer as a result of my participation in weightlifting while a student at Immanuel Lutheran High School and College. It is understood that this release will apply to any cause of action whatsoever that I may have against the ILC parties, or any of them, including any cause based on negligence, breach of contract, or breach of any duty or care.

I acknowledge my responsibility to ensure that I have adequate medical, personal health, dental, and accident insurance coverage as well as insurance coverage for my personal possessions and release the ILC parties, or any of them, from any claims that I may have in respect thereof.

I further agree to hold harmless and indemnify the ILC parties, or any of them, from any and all liability that may be incurred by them, or any of them, for any damage to property or personal injury to any third party resulting from my participation in weightlifting at Immanuel Lutheran High School or College.

I agree as a participant in weightlifting at Immanuel Lutheran High School and College to adhere to the guidelines for use of the weightlifting room.

I have read and understood the terms and conditions of this agreement, and I am signing it voluntarily and I agree to abide by its terms.
Sign in to Google to save your progress. Learn more
First Name of Participant *
Last Name of Participant *
Age of Participant *
Signature of Parent/Guardian *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Immanuel Lutheran College. Report Abuse