West Valley Juniors
Volleyball Club
(RELEASE, WAIVER OF
LIABILITY AGREEMENT)
IN CONSIDERATION of being
permitted to participate in any way in any West Valley Juniors Volleyball
Club activity (“Activity”) I, for myself, my personal representatives,
assigns, heirs, and next of kin:
- ACKNOWLEDGE, agree, and represent that I understand the nature of
the Activity and that I am qualified, in good health, and in proper
physical condition to participate in such Activity.
- FULLY UNDERSTAND that: (a) ATHLELETIC ACTIVITIES INVOLVE RISKS AND
DANGER OF SERIOUS BODILY INJURIES, INCLUDING PERMANENT DISABILITY,
PARALYSIS, AND DEATH. (b) These
Risks and dangers may be caused by my own actions or inactions of others
participating in the Activity, the condition in which the Activity takes
place or the NEGLIGENCE of the “RELEASEES” NAMED BELOW; (c) there may be
OTHER RISK AND SOCIAL AND ECONOMIC LOSSES either not known to me or not
readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH
RISK AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a
result of my participation or that of the minor in the Activity.
- I HEREBY RELEASE DISCHARGE AND COVENANT NOT TO SUE West Valley
Juniors Volleyball Club including its Administrators, Club Directors, Club
Sites Directors, Coaches, Sponsors, Assigned Parents and if applicable,
owners and lessors of premises on which the Activity takes place, and any
other party indemnified and held harmless by West Valley Juniors
Volleyball Club, (each considered one of the “RELEASES” herein) FROM ALL
LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR
ALLIGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE
“RELEASEES’ OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, NEGLIGENT
SECURITY, TRAVEL, AND RECREATIONAL OPERATIONS AND ACTIVITIES; AND I
FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY,
ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim
against any of the Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS
EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss,
liability, damage, or cost which any may incur as the result of such
claim.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND
ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND
HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND
INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE
GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT
IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL
FORCE AND EFFECT.
Printed Name of Participant:
________________________________________________
Address:
_______________________________________________________________
Street
City
State Zip
Phone:
____________________________
Date ___________________________
______________________________ _______________________________________
Participants’ Signature
Parent/Guardian Signature (only if under 18 years old)