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3030 Unionville Pike

Suite 120

Hatfield, PA  19440

(267) 477 - 1478

www.a2ipa.com

schedule@a2ipa.com

 

A2I, APEX ATHLETIC INSTITUTE, FAST TRACK CONSULTING, IS NOT RESPONSIBLE FOR ANY INJURY (OR LOSS OF PROPERTY) TO ANY PERSON SUFFERED WHILE PLAYING, PRACTICING OR IN ANY OTHER WAY INVOLVED IN APEX ATHLETIC INSTITUTE (A2I) FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THE PART OF THE APEX ATHLETIC INSTITUTE (A2I) OR ITS AGENTS, EMPLOYEES, SPONSORS, VOLUNTEERS, THE OWNERS AND LESSORS OF THE PREMISES AND ALL OTHERS WHO ARE INVOLVED.

In consideration of my being allowed to participate in any way in the Apex Athletic Institute (A2i) related events and activities I hereby release and covenant not-to-sue Apex Athletic Institute (A2i) and any of their employees, instructors or agents, from any and all present and future claims resulting from ordinary negligence on the part of the Apex Athletic Institute (A2i), Fast Track Consulting, its officers, officials, agents, employees, other participants, sponsors, advertisers, and owners and lessors of the premises or others listed for property damage, personal injury or wrongful death, arising as a result of my engaging in or receiving instruction at the Apex Athletic Institute (A2i), programs and activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my family, estate, heirs, or assigns. Further, I am aware that baseball and softball and other sports are vigorous team sports at times involving severe cardiovascular stress and violent physical contact. I understand that baseball and softball and other sports involve certain risk, including but not limited to death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage and serious injury to virtually all bones, joints, muscles and internal organs, and that equipment provided for my protection may be inadequate to prevent serious injury. I further understand that baseball and softball and other sports involve a particularly high risk of ankle, knee, head, and neck injury. In addition, I understand that participation at Apex Athletic Institute (A2i) involves activities incidental thereto, including but not limited to, travel to and from the site activity, participation at sites that may be remote from available medical assistance, and possible reckless conduct of other participants. I am voluntarily participating in this activity with knowledge of the danger involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death. I further agree to indemnify and hold harmless the Apex Athletic Institute (A2i) and others listed for any and all claims arising as a result of my engaging in or receiving instruction in the Apex Athletic Institute (A2i) activities or any activities incidental thereto, wherever, whenever, or however the same may occur. I have private insurance coverage for the participant and will list the carrier and policy number below. In absence of this information, I assume all liability for such expenses. I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of Pennsylvania and agree that if any portion is held invalid the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceeding shall be in the state of Pennsylvania.

Coronavirus – COVID-19 Release

I acknowledge the contagious nature of COVID-19 and understand that A2i has taken precautions to reduce the risk of transmission of COVID-19.  I further understand that despite A2i’s efforts, A2i cannot eliminate the risk of my contracting COVID-19 and the personal injury, illness, permanent disability, or death that could result from contracting it.  I further understand that a COVID-19 infection may result from the actions, omissions, or negligence of myself and others, but not limited to, A2i’s members, attorneys, employees, affiliates, invitees and guests.  

I further acknowledge that I request permission to enter and am voluntarily entering A2i’s facility at my own risk.  By signing below, I state that I understand that, despite instituting recommended practices, A2i cannot eliminate the risk of my contracting COVID-19 while visiting A2i’s facility, interacting with A2i’s members, attorneys, employees, affiliates, invitees or guests, or participating activities sponsored by or directed by A2i.  

I have read and understand this entire release and am voluntarily signing it.  I, for myself and on behalf of my heirs and assigns, covenant not to sue and to forever release A2i, its members, officers, directors, attorneys, employees, agents and affiliates, from any and all liability or damages, under any theory related in any way to any increase risks of contracting COVID-19 or from contracting COVID-19 while at A2i’s facility or participating in activities arising therefrom.

We ask you to take reasonable action to ensure that during the time(s) of rental, you will not be under any quarantine as a precaution against COVID-19, will not have been knowingly exposed to COVID-19, and will not display any of the symptoms that are representative of COVID-19, including fever, cough, chills, shaking, muscle pain, sore throat, headache, loss of taste/smell, and shortness of breath.  Reasonable actions expected will include announcing these restrictions to your group and enforcing them as necessary.  The facility may observe the right to monitor incoming participants with a facial scan.  Those participants who exhibit an external temperature of 30.8 c (100.4 F) will not be permitted to remain in the facility.

As a participant at A2i, you agree to follow all safety protocols established by A2i and the local health department as modified from time to time.

Today's Date: September 20, 2020

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Team Information (type N/A if not applicable)

Team Name *

Coach First Name *

Coach Last Name *
Click to customize pull down*
I, as the Parent, Legal Guardian or representative of Renting Organization, have read and understand then disclaimer as it pertains to rentals and use of the A2i facility training and clinics.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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