Loading...

INDIAN HILL WINTER CLUB GUEST WAIVER AND RELEASE

 

In consideration for being permitted to participate in activities at the Indian Hill Winter Club, Inc., (the "Club") I, for myself and/or on behalf of my minor child/children listed below, agree to the following Waiver and Release:

I acknowledge that certain sporting activities such as ice skating, basketball, paddle tennis and fitness pursuits have inherent risks, hazards, and dangers for anyone, and that such risks, hazards, and dangers cannot in their entirety be eliminated. Such risks, hazards and dangers include, without limitation, the possibility of injury, paralysis and even death.

I, for myself, and for my minor child/children designated below, hereby assume all the risk as described above, and hereby release, waive and covenant not to sue the Club, its agents, officers, trustees, directors or employees for any injury (including permanent disability and death) sustained by me or my minor child/children as a result of our use of the Club's facilities.

I represent that my minor child/children and I are in suffciently good health to participate in activities at the Club without jeopardizing our health. Our participation in any activities at the Club is purely voluntary and with full knowledge of the inherent risks, hazards and dangers.

I further agree for myself and for my minor child/children to indemnify and hold harmless the Club, its agents, offcers, frustees, directors and employees from and against any and all claims, actions, causes of action, liabilities, suits, and expenses (including reasonable attorneys' fees) which are related to, arise out of, or are in any way connected with the participation in activities at the Club by me or my minor child/children.

I further agree that while at the Club, I and/or my minor child/children will abide by all rules and regulations of the Club.

I HAVE CAREFULLY READ, CLEARLY UNDERSTAND, AND VOLUNTARILY SIGN AND DATE THIS WAIVER, RELEASE AND INDEMNIFICATION AGREEMENT.

 

First Winter Club Guests Name

First Name*

Last Name*

Phone*
First Winter Club Guests Date of Birth*
First Winter Club Guests Signature*
Second Winter Club Guests Name

First Name*

Last Name*
Second Winter Club Guests Date of Birth*
Third Winter Club Guests Name

First Name*

Last Name*
Third Winter Club Guests Date of Birth*
Fourth Winter Club Guests Name

First Name*

Last Name*
Fourth Winter Club Guests Date of Birth*
Fifth Winter Club Guests Name

First Name*

Last Name*
Fifth Winter Club Guests Date of Birth*
Sixth Winter Club Guests Name

First Name*

Last Name*
Sixth Winter Club Guests Date of Birth*
Seventh Winter Club Guests Name

First Name*

Last Name*
Seventh Winter Club Guests Date of Birth*
Eighth Winter Club Guests Name

First Name*

Last Name*
Eighth Winter Club Guests Date of Birth*
Ninth Winter Club Guests Name

First Name*

Last Name*
Ninth Winter Club Guests Date of Birth*
Tenth Winter Club Guests Name

First Name*

Last Name*
Tenth Winter Club Guests Date of Birth*
Parent or Guardian's Email Address

Email*
Check to receive information about memberhsip and events
A signed copy of this waiver will be sent to the email address you provide.
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.
Parent or Guardian's Name

First 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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver