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Participant’s Waiver and Release of Liability,


Assumption of Risk and Indemnity


(Read Carefully Before Signing)


Participant’s Waiver and Release of Liability,

Assumption of Risk and Indemnity

(PLEASE read carefully before signing)

 

 

I, ____________________,  fully understand that my participation in playing pickleball at the property of CA SMASH, located at 815 N Nash El Segundo, CA 90245 (hereinafter “event/class”) exposes me to the risk of personal injury, death, communicable diseases, illnesses, viruses, or property damage. I hereby acknowledge that I am voluntarily participating in this event/class and agree to assume any such risks.

 

I hereby release, discharge, and agree not to sue  CA SMASH, their officers, officials, employees, agents, and volunteers (collectively, “CA SMASH”) for any injury, death, or damage to or loss of personal property arising out of, or in connection with, my participation in the event/class from whatever cause, including the active or passive negligence of  CA SMASH or any other participants in the event/class. The parties to this Agreement understand that this document is not intended to release any party from any act or omission of “gross negligence,” as that term is used in applicable case law and/or statutory provision.

 

In consideration for being permitted to participate in the event/class, I hereby agree, for myself, my heirs, administrators, executors, and assigns, that I shall indemnify and hold harmless CA SMASH from any and all claims, demands, actions, or suits arising out of or in connection with my participation in the event/class.

 

I further understand and agree that:

 

·     An inherent risk of exposure to COVID-19 exists in any public space where people are present. COVID-19 is a highly contagious disease that can lead to severe illness and death. By participating in the program, activity, event, or class, I voluntarily assume all risks related to exposure to COVID-19.

·     The program, activity, event, or class may be hazardous, strenuous, and/or physical in nature.

·     Participation in the program, activity, event, or class may occasionally result in injury, death, or property damage.

·     I will make good any loss, damage, or cost that CA SMASH  may have to pay if any litigation arises because of any claim made by said minors or by anyone on said minor’s behalf.

·     CA SMASH  does not provide accident, medical, liability, worker’s compensation insurance, or any other insurance for participants in the program, activity, event, or class.


·     If said minor requires medical or surgical treatments while under the supervision of CA SMASH  personnel in connection with the program, activity, event, or class, such personnel may authorize treatment. I will pay all medical, hospital, or other expenses which I or my minor children may incur as a result of such treatment.

·     I understand CA SMASH  staff may photograph or videotape me and/or my minor children, and CA SMASH  may use such photographs or videotapes to promote its programs and classes. I expressly allow, and hereby waive any objection to, CA SMASH  ’s photographing and/or videotaping of me and/or my minor children when I and/or my minor children are participating in a CA SMASH  program. I understand all photos and videotapes will remain the property of CA SMASH .

·     While participating in any CA SMASH  program, activity, event, or class, I and my minor children will always abide by CA SMASH  ’s Code of Conduct and any applicable federal, state, and local laws, orders, and regulations.

 

Additional RENTAL Agreement: By signing below, you acknowledge and accept full responsibility for any and all rented equipment during your time at California SMASH. In the event of loss or significant damage to any rental paddle, a replacement fee of $99 plus applicable tax will be charged to the renter.

Please treat all equipment with care and respect so we can continue to provide a high-quality experience for all guests.

I HAVE READ THE ABOVE WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT AND UNDERSTAND ITS TERMS FULLY. I UNDERSTAND I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN FREELY AND VOLUNTARILY OF MY OWN VOLITION.

 

Signature of Participant:                                                    Date:                          

Printed Name of Participant:                                              

Phone Number: ____________________________________

Email Address: ____________________________________

Emergency Contact Name and Phone Number:                                                          

 


If Participant is a Minor or has a Guardian- Complete This Information:



Signature of Guardian:                                                          Date:                           

Printed Name of Guardian:                                                     

Phone Number: ____________________________________

Email Address: ____________________________________


Above signature made by ___________________ Guardian’s Name], who is the natural parent (or legally appointed guardian) of _______________ [Minor’s Name],

born _________________[Date of Birth], and who executes this Agreement on behalf of said minor or individual in need of a Guardian.Copy and paste the body of your waiver here.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
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*
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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