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Assumption of Risk, Waiver, and Release from Liability

The Athlete’s Playground

Assumption of Risk, Waiver, and Release from Liability

I desire to participate in The Athlete’s Playground (hereinafter " The Athlete’s Playground Programs").  This Assumption of Risk, Waiver, and Release from Liability covers the entirety of my participation in The Athlete’s Playground Programs, including travel to any locations involving The Athlete’s Playground  in order to participate in activities associated with The Athlete’s Playground Programs.  

Risk Factors- I understand and acknowledge that the use of equipment and facilities provided by The Athlete’s Playground and participation in The Athlete’s Playground Programs involves risks including, but not limited to the following: risk of property damage, bodily injury, including, but not limited to permanent disability, paralysis, and possibly death.  These risks may result from a variety of circumstances including, but not limited to, the use or misuse of the equipment or facilities, from the activity itself, from the acts of myself or others, including The Athlete’s Playground and its agents or from the unavailability of emergency medical care.

Assumption of Risk- I am participating in The Athlete’s Playground Programs at my own free will. I understand that my decision to participate in The Athlete’s Playground Programs is entirely voluntary and is not a requirement for completing a degree at DePaul.  I assume full responsibility for all risks that may arise out of or result from my participation in The Athlete’s Playground Programs, including by not limited to those risks described in Section 1, above. Excepted from this section are any injuries caused by the gross negligence or willful or wanton misconduct of any officials, officers, employees, agents, or volunteers of The Athlete’s Playground.

Acknowledgement of Policies and Procedures- I acknowledge that I have read, know, and agree to all of the policies and procedures relating to my participation in The Athlete’s Playground Programs.  I understand that the safe and proper use of all facilities, equipment or participation in the activity is dependent upon carefully following these policies and procedures. I agree to comply with and abide by all rules, regulations and policies of The Athlete’s Playground.  I understand that The Athlete’s Playground reserves the right to revoke or terminate my participation in The Athlete’s Playground Programs for any violations of these rules, regulations, or policies.

Release, Indemnify, and Defend.  I hereby release, waive, discharge, and hold harmless The Athlete’s Playground, and all of their affiliates, predecessors, successors, trustees, officers, directors, faculty, employees, agents and representatives, past or present (hereinafter jointly referred to as “the Released Parties") from any and all claims, suits, liabilities, judgments, costs and expenses ("Claims") for any property damage, property loss or theft, personal injury or illness, death or other loss arising from or relating to my participation in The Athlete’s Playground Programs.  I also agree to defend, indemnify and hold harmless the Released Parties from and against any Claims arising from or related to my own acts or omissions in connection with my participation in The Athlete’s Playground Programs.

Prerequisite Skills.  I acknowledge that I have the requisite skills, qualifications, physical ability and training necessary to properly and safely participate The Athlete’s Playground Programs.  I agree that if I have any questions as to what skills, qualifications, or training is necessary to properly participate in The Athlete’s Playground Programs, then I shall direct such questions to the appropriate individuals.

Waiver- I hereby waive any protections afforded by any statute or law in any jurisdiction whose purpose, substance and/or effect is to provide that a general release shall not extend to claims, material or otherwise which the person giving the release does not know or suspect to exist at the time of executing the release.  This means, in part, that I am releasing unknown future claims.

Payment for Damages.  I agree to pay for any and all damages to any property or Release Party caused by me negligently, willfully or otherwise.

Representatives.  I enter into this agreement for myself, as well as for my heirs, assigns and legal representatives.

Consent for Emergency Treatment- I consent to medical treatment for emergencies that occur during or are related to my participation in The Athlete’s Playground Programs where I am unable to consent to such treatment.  I understand the provisions of this Assumption of Risk, Waiver, and Release from Liability apply to any treatment that might be provided to me under this Section, including but not limited to Section 1, Section 2, and Section 4.

Insurance- I understand that I am solely responsible for any medical, health or personal injury costs relating to my participation in The Athlete’s Playground Programs.  I understand that I am strongly encouraged to have a medical physical examination and purchase health insurance prior to any and all participation in The Athlete’s Playground Programs. 

Jurisdiction.  This Assumption of Risk, Waiver, and Release from Liability shall be governed in all respects by the laws of the State of New Mexico.  The parties agree to use the State of New Mexico for Jurisdiction and the County of Bernallio as Venue for any disputes between the parties related to this Assumption of Risk, Waiver, and Release from Liability.

Severability.  If any term or provision of this Assumption of Risk, Waiver, and Release from Liability is held to be illegal, invalid or unenforceable, or the application thereof to any person or circumstance shall to any extent be illegal, invalid or unenforceable under present or future laws effective during the term hereof or of any provisions hereof which survive termination, then and in any such event, it is the express intention of the parties that the remainder of this Assumption of Risk, Waiver, and Release from Liability, or the application of such term, clause or provision other than to those as to which it is held illegal, invalid or unenforceable, shall not be affected thereby, and each term, clause or provision of this Assumption of Risk, Waiver, and Release from Liability and the application thereof shall be legal, valid and enforceable to the fullest extent permitted by law.

 

I have read and fully understand this Assumption of Risk, Waiver, and Release from Liability and understand that it relates to surrendering and releasing valuable legal rights. I do so freely and voluntarily.

 Consent and Release on Behalf of Minor by Parent/Legal Guardian

I am the parent or legal guardian of the named minor(s).  I have read and understand this Assumption of Risk, Waiver, and Release from Liability in its entirety and understand that it relates to surrendering valuable legal rights of the minor and myself.  I agree to be bound by all the terms of the Assumption of Risk, Waiver, and Release from Liability.  I also give my consent to the participation in the activity of the minor.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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