Permission
and Waiver
acting on behalf of my organization, myself or my
minor child do expressly and forever waive, release, and hold harmless and
indemnify the Chandler Park Conservancy and its partners from and against any
and all claims, demands, obligations, causes of action and lawsuits, and all
damages, liabilities, fines, judgments and costs (including reasonable
attorney's fees) associated with, arising from or alleged to have risen from
the actions or omissions of myself, my minor child or the organization, its
agents, employees or contractors, in connection with the event, or any failure
to comply with the laws, ordinances, rules and regulations applicable to the
duties and responsibilities set forth herein. The Chandler Park Conservancy
reserves the right to revoke this reservation should any information herein be
found to be inaccurate or untrue.
In consideration of being allowed to participate in
any way in Chandler Park Conservancy’s Youth Sports Programs, the undersigned acknowledges,
appreciates, and agrees that:
The risk of injury
from the activities involved in this program is significant, including the
potential for permanent paralysis and death, and while particular rules,
equipment, and personal discipline may reduce this risk, the risk of
serious injury does exist; and,
I KNOWINGLY AND FREELY
ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for
my participation; and,
I willingly agree to
comply with the stated and customary terms and conditions for
participation. If, however, I observe any unusual significant hazard
during my presence or participation, I will remove myself from
participation and bring such to the attention of the nearest official
immediately; and,
This is to certify that
I, as parent/guardian with legal responsibility for this participant, do
consent and agree to his/her release as provided above of all the releases, and
for myself, my heirs, assigns, and next of kin, I release and agree to
indemnify and hold harmless the releases from any and all liabilities incident
to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM
THEIR NEGLIGENCE, to the fullest extent permitted by law.
PHOTO/VIDEO RELEASE: By registering for
any Chandler Park Conservancy Sports Program, I agree to allow publication of
photos or video taken of my child/children or myself at any program, event or
facility associated with the Chandler Park Conservancy.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK
AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT
ANY INDUCEMENT.
Parent/Guardian please type your name below.
