Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement
Form must be completed before any non-Albany FSC member participates in Albany FSC on-ice sessions or classes. Form will be kept on file for one figure skating season.
SafeSport Statement for Albany FSC
Albany FSC is committed to creating a safe and positive environment for members’ physical, emotional and social development and ensuring that it promotes an environment free of misconduct. SafeSport compliance applies to all participants in activities hosted, supported, sponsored or engaged in by U.S. Figure Skating and Albany FSC including but not limited to competitions, exhibitions, training camps and local rink activities. *
Required
Assumption of Risk and Indemnity
In consideration of my participation in any Albany Figure Skating Club U.S. Figure Skating or Learn to Skate USA related activity, I acknowledge that I understand the nature of the activity and that I, and/or my minor child, am qualified, in good health, and in proper physical condition to participate in such activity. I acknowledge that if conditions are unsafe, I, and/or my minor child, will immediately discontinue participation in the activity. *
Required
I fully understand that skating involves risks of serious bodily injury, including permanent disability, paralysis, and death, and that these and other risks may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the Releases named below; and that there may be other risks either not known to me or not foreseen at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the activity. *
Required
I understand that I must carry and maintain my own personal medical insurance throughout the time of participation. I also give consent to receive first aid and emergency transport to the nearest medical facility. *
Required
Waiver and Release of Liability
I hereby release, discharge, and covenant not to sue U.S Figure Skating or Learn to Skate USA, its Member Clubs and Programs (Albany Figure Skating Club), their respective administrators, directors, agents, officers, volunteers, and employees (instructors), the Capital District YMCA at Bethlehem, and any sponsors and advertisers of any -sanctioned event in which I participate (each considered one of the Releases herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releases. This release waiver of liability and express assumption of risk agreement does not apply to any liability, claims, demands, losses, or damages arising out of the gross negligence of, or intentional, willful or wanton misconduct of Releases. If I, or anyone on my and/or my minor child's behalf, makes a claim, I agree I will indemnify, defend, save, and hold harmless each of the Releases from any loss, liability, damage, or cost which any may incur as the result of such claim. *
Information and Photography Release
I hereby give my consent to Albany Figure Skating Club for the collection and use of personal information (for registering with U.S. Figure Skating or Learn to Skate USA and club communications only) and/or photographs of my child/children for marketing purposes (no identifiable names will be used). *
Enter Participant Name(s) *
By entering my name below, I acknowledge that I have read this release, waiver of liability and express assumption of risk agreement and fully understand it. Parent/guardian must sign for minors under the age of 18 years old.
Skater/Parent/Guardian Signature: *
Enter Today's Date: *
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