INDOOR365 Waiver & Emergency Contact Info
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Child's Name(s) *
Child's Age(s) *
Reason (List Instructor, Team, or Program)
Email *
Address *
Phone number
I hereby release and agree to hold CHAMPS,NY LLC and Indoor 365(DBA) harmless from, and waive onbehalf of myself, my heirs, and any personal representatives any and all causes of action, claims,demands, damages, costs, expenses and compensation for damage or loss to myself and/or propertythat may be caused by any act, or failure to act of CHAMPS,NY LLC and Indoor 365(DBA), or that mayotherwise arise in any way in connection with any services received from CHAMPS,NY LLC and Indoor365(DBA) . I understand that this release discharges CHAMPS,NY LLC and Indoor 365(DBA) from anyliability or claim that I, my heirs, or any personal representatives may have against the facility with respectto any bodily injury, illness, death, medical treatment, or property damage that may arise from, or inconnection to, any services received from CHAMPS,NY LLC and Indoor 365(DBA). This liability waiverand release extends to the facility together with all owners, partners, and employees.
 I for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBYRELEASE AND HOLD HARMLESS INDOOR365 (DBA), CHAMPS NY LLC, Fantino Sports Performance (DBA)their directors, officers, officials, agents, volunteers, and/or employees, other participants, sponsoringagencies, sponsors, advertisers, and if applicable, owners and lessor’s of premises used to conduct theevent (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage toperson or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, tothe fullest extent permitted by law.
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