Consent(Required) I Consent
RELEASE OF LIABILITY -- READ BEFORE SIGNING
In consideration of being allowed to participate in any way in the Brookside Swim Club program, its related events and activities, I, (name of participant)_________________________________ , the undersigned, acknowledge, appreciate, and agree 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 skills, 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 Company immediately; and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the Brookside Swim Club, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, ILLNESS from any and all infectious disease, or loss or damage to person or property or WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
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.
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PARTICIPANT'S SIGNATURE AGE DATE SIGNED
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)
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 Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
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PARENT/GUARDIAN’S SIGNATURE EMERGENCY PHONE #: DATE SIGNED
COVID-19 WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT
READ BEFORE SIGNING
In consideration for receiving permission to be on premises at Brookside Swim Club (hereinafter the Activity or Activities), I, on behalf of myself and any minor child/children for whom I have the capacity to contract, hereby acknowledge and agree to the following:
1. I understand the hazards of the novel coronavirus and its variants (COVID-19) and am familiar with the Centers for Disease Control and Prevention (CDC) guidelines regarding COVID-19. I acknowledge and understand that that the circumstances regarding COVID-19 are changing from day to day and that, accordingly, the CDC guidelines are regularly modified and updated, and I accept full responsibility for familiarizing myself with the most recent updates.
2. Notwithstanding the risks associated with COVID-19, which I readily acknowledge, I hereby willingly choose to participate in Activities.
3. I acknowledge and fully assume the risk of illness or death related to COVID-19 arising from my being on the premises and participating in the Activities and hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE (on behalf of myself and any minor children from whom I have the capacity to contract) Brookside Swim Club, their owners, officers, directors, agents, employees and assigns (the RELEASEES) from any liability related to COVID-19 which might occur as a result of my being on the premises and participating in the Activities.
4. I shall indemnify, defend and hold harmless the RELEASEES from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys fees, costs and disbursements, whether of in-house or outside counsel and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, the infection of COVID-19 or any other illness or injury.
5. It is my express intent that this Waiver and Hold Harmless Agreement shall bind any assigns and representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. This Agreement and the provisions contained herein shall be construed, interpreted, and controlled according to the laws of the State of New Jersey.
I HEREBY KNOWINGLY AND VOLUNTARILY WAIVE ANY RIGHT TO A JURY TRIAL OF ANY DISPUTE ARISING IN CONNECTION WITH THIS AGREEMENT. I ACKNOWLEDGE THAT THIS WAIVER WAS EXPRESSLY NEGOTIATED AND IS A MATERIAL INDUCEMENT FOR THE PERMISSION GRANTED BY RELEASEES TO BE ON PREMISES AND PARTICIPATE IN THE ACTIVITIES.
IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing
COVID-19 Wavier of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.
IN WITNESS WHEREOF, I have signed this Waiver and Agreement under seal on this
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PARTICIPANT'S SIGNATURE DATE SIGNED
MEDICAL RELEASE WAIVER -- READ BEFORE SIGNING
I certify that I am the parent or legal guardian for my child(ren) and hereby give my permission for any supervisor, coach or other team administrator associated with the Brookside Swim Club to SEEK AND GIVE APPROPRIATE MEDICAL ATTENTION for our child(ren) in the event of accident, injury, and/or illness. I will be RESPONSIBLE FOR ANY AND ALL COSTS ASSOCIATED WITH ANY NECESSARY MEDICAL ATTENTION AND/OR TREATMENT.
I hereby waive, release and forever discharge Brookside Swim Club and associated supervisor, coach or other team administrator from all RIGHTS AND CLAIMS FOR DAMAGES, INJURY, LOSS TO PERSON OR PROPERTY WHICH MAY BE SUSTAINED OR OCCUR during participation in Brookside Swim Club activities, WHETHER OR NOT DAMAGES OR LOSS IS DUE TO NEGLIGENCE. I hereby acknowledge that my child(ren) is (are) physically fit and capable of participation in all aquatic team activities.
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PARENT/GUARDIAN’S SIGNATURE EMERGENCY PHONE #: DATE SIGNED
MEDIA RELEASE WAIVER -- READ BEFORE SIGNING
I hereby authorize Brookside Swim Club to PUBLISH THE PHOTOGRAPHS AND/OR VIDEO TAKEN OF ME AND/OR THE UNDERSIGNED MINOR CHILDREN for use in the Brookside Swim Club publications, social media platforms and website. I release Brookside Swim Club from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed above and that I have the authority to authorize Brookside Swim Club to use their photographs and/or video footage.
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PARTICIPANT'S SIGNATURE AGE DATE SIGNED
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)
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 Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these publications and website as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
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PARENT/GUARDIAN’S SIGNATURE DATE SIGNED