Loading...

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AND PARENTAL CONSENT FORM.

I, the undersigned, do hereby consent to the following terms and conditions to participate in or be present as a spectator at sporting events and/or exercise and workouts herein afterwards referred to “activities”, held at All Seasons Sports Academy located at 2700 Hamilton Boulevard, South Plainfield, New Jersey “Facility” herein.

COMPETITOR OR PARTICIPANT: If I am a competitor or a participant, I recognize that substantial physical exertion will be required in order for me to compete or participate in such activities. I have reviewed my physical capabilities and/or limitations with my physician and I certify that I am in proper physical condition for safe competition or participation. I recognize that there may be a risk of injury, death, loss of or damage to personal property, by competing or participating. I agree to defend, indemnify and hold harmless All Seasons Sports Academy, LLC, its agents and employees, from any injuries, death and/or loss of or damage to personal property, that I may sustain by competing or participating in activities at All Seasons Sports Academy.

SPECTATOR: If a spectator, I agree to defend, indemnify and hold harmless All Seasons Sports Academy, LLC, its agents and employees, -from any injuries, death and/or loss of or damage to personal property, that I may sustain by being a spectator during any activity at All Seasons Sports Academy. 

I FULLY UNDERSTAND THAT:

  • These activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death (“risks”);
  • These risks and dangers may be caused by my own actions or inactions; the 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;
  • there may be other risks and social and economic losses either not know to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility and all responsibility for losses, costs, and damages I incur as a result of my participation or that of the minor under my guardianship in the activity.

RELEASE: I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE FACILITY, their respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, and sponsors, advertisers, and if applicable owner and lessors of premise on which the activity takes place, (each considered one of the “RELEASES” herein FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTIONS 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 fee, loss, liability, damage, or cost which may incur as the result of such claim.

I HEREBY AUTHORIZE Facility to utilize any promotional materials any photograph or video taken of me, or my child, while participating in any activity at Facility.

December 8, 2022

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*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*

PARTICIPANT AS A MINOR : I, the undersigned, give permission for my child, whose name appears above, to participate in any activity held at the facility.

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!