Minor Participant Waiver, Release, Indemnification of All Claims & Covenant Not to Sue
Minor
Participant Waiver, Release, Indemnification of All Claims & Covenant Not
to Sue
NOTICE: THIS IS A
LEGALLY BINDING AGREEMENT. Read this document carefully and in entirety. By
signing this agreement, you give up your right and the named minor’s right to
bring a court action to recover compensation or obtain any other remedy for any
personal injury or property damage however caused arising out of the named
minor’s participation in Conestoga Valley Summer Swim Team (“CVSST”) Programs,
now or any time in the future, located at the Leola Community Pool which is
managed by the Lancaster Family YMCA (“YMCA”).
Acknowledgment
of Risk
I, in my legal capacity as the
parent/guardian of the minor named below, do hereby acknowledge and agree that
participation in CVSST activities comes with inherent risks. I have full
knowledge and understanding of the inherent risks associated with CVSST
participation, including but in no way limited to: (1) slips, trips, and falls,
(2) drowning, near drowning, (3) aquatic injuries related to diving into a
depth of 4 feet, (4) other athletic injuries, and (5) unforeseen medical
events. I further acknowledge that the preceding list is not inclusive of all
possible risks associated with CVSST participation and that said list in no way
limits the operation of this Agreement.
Waiver, Release, Indemnification & Covenant Not to Sue
Inconsideration of’s
participation in CVSST, I, the parent/guardian of the minor named above, agree to release and on behalf of
myself and the minor named above, my heirs, representatives, executors,
administrators, and assigns, HEREBY DO RELEASE CVSST and YMCA, its officers,
agents, and employees from any causes of action, claims, or demands of any
nature whatsoever including, but in no way limited to, claims of negligence,
which I, the named minor, my heirs, representatives, executors, administrators
and assigns may have, now or in the future, against CVSST and YMCA on account
of personal injury, property damage, death or accident of any kind, arising out
of or in any way related to the use of CVSST and YMCA facilities/equipment or
participation in CVSST programs whether that participation is supervised or
unsupervised, however the injury or damage occurs, including, but not limited
to the negligence of CVSST and YMCA, its officers, agents, andemployees.
In consideration of the named minor’s
participation in CVSST, I, the undersigned parent/guardian of the named minor,
agree to INDEMNIFY AND HOLD HARMLESS CVSST and YMCA, its agents and employees
from any and all causes of action, claims, demands, losses, or costs of any
nature whatsoever arising out of or in any way related to the named minor’s
CVSST participation.
I hereby certify on behalf of
myself and the named minor that I have full knowledge of the nature and extent
of the risks inherent in CVSST participation and that I, on behalf of myself
and the named minor, am voluntarily assuming said risks. I understand that I
and the named minor will be solely responsible for any loss or damage,
including personal injury, property damage, or death, the named minor sustains
while
participating in CVSST and that by
signing this agreement I hereby, on behalf of myself and the named minor,
release CVSST and YMCA, its officers, agents, and employees of all liability
for such loss, damage, or death. I further certify that the named minor is in
good health and has no conditions or impairments which would preclude his/her
safe participation in CVSST.
I, in my legal capacity as
parent/guardian of the named minor, expressly agree, on behalf of myself and the
named minor, that this document is intended to be as broad and inclusive as
permitted by the law of Pennsylvania and that if any portion of the document is
held invalid, it is agreed that the balance shall, notwithstanding, continue in
full legal force and effect. Furthermore, I expressly agree that this document
shall be governed by and interpreted in accordance with the laws of
Pennsylvania and that the courts of Lancaster County, Pennsylvania shall be the
exclusive venue for any and all disputes relating to or arising from this
document.
I further certify that I am of
lawful age (18 years or older) and otherwise legally competent to sign this
agreement, and that I have legal capacity to act as the parent/guardian of the
named minor. I further understand that the terms of this agreement are legally
binding and certify that I am signing this agreement, after having carefully
read it, of my own free will. The foregoing written agreement represents the
entire understanding between the parties. No oral representations, statements
or inducement apart from the foregoing written agreement have been made.
YES, I AGREE.
Enter your initials to indicate acceptance: