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TAMAYA WELLNESS CENTER

RELEASE OF CLAIMS

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING BELOW

Tamaya Wellness Center (TWC) is located within the traditional lands of the Pueblo of Santa Ana. It is a facility which provides Pueblo members with an aquatics center, fitness programs, and health and wellness courses to meet the needs of the community. The TWC campus includes a natatorium, weight room, kitchens, a group fitness studio, and a gym area with two practice and one professional size basketball and volleyball courts. The baseball complex holds baseball and softball fields and adjacent to the fields is a skate park.

 

***Please Read Carefully ***

 

If the Participant is under the age of 18, this Waiver and Release of Liability Form must be completed by the Participant’s parent or legal guardian.

 

Should you have any questions about this Waiver and Release of Liability Form, please contact the Facility Operations Director Jesus Rios 505-771-6712.

 

I, the Participant or the parent and/or legal guardian of the Participant, in consideration of the Participant’s voluntary participation in the Program taking place in or on any of the facilities located on the TWC campus, understand and willfully agree to the following on my own behalf and/or on behalf of the Participant:

 

1.     Assumption of Risk: I understand that certain activities in the program or use of campus facilities may expose the Participant to the risk of personal injury, death, or property damage. I assume all risks and hazards associated with the Participant’s involvement in the Program, Event, or Activity (hereinafter “Program”). The Participant’s participation in each Program is voluntary and I understand that participation in Program activities assumes any such risks associated with the activity. I hereby certify that the Participant is in proper physical condition to participate in the activities associated with this Program and has no illness, disease or existing injury or physical defect that would be aggravated by the Participant’s participation. I will inform the Program administrator if this status changes and I will promptly withdraw Participant from participation and bring these concerns to the immediate attention of the nearest official.

 

2.     Waiver and Release of Liability: To the fullest extent permitted by law, I hereby agree to release, hold harmless, discharge, and agree to indemnify and not to sue TWS, the Pueblo of Santa Ana, its directors, administrators, officers, managers, employees, coaches, trainers, volunteers and agents in their individual or official capacity, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the Program ("Releasees") from any and all claims of any other nature including personal injury, death, property damage, and/or illness, including exposure to COVID-19 and any of its variants, arising out of, or in connection with, the Participant’s participation in the Program.

 

3.     Participant Conduct: The Participant, by participating in the Program agrees, at all times during the Program, to follow all rules and guidelines established by the Program’s established terms and conditions for participation. I understand that the Participant may be dismissed from participation for the day or for the entire Program for any misconduct or breaking Program rules, as determined by Program or TWS staff in their sole discretion.

 

I have completely read and fully understand this Waiver and Release of Liability Form and had all my questions answered. I represent and certify that I have the legal capacity and authority to agree and sign this Waiver and Release of Liability Form. By my signature below, I hereby agree to this Waiver and Release of Liability Form and hereby bind myself and/or Participant to the terms of this Waiver and Release of Liability Form. 

 

4. Furthermore, I indemnify and hold harmless all the above-named Releasees from any and all liabilities associated with my involvement or my spouse or my child/ward's participation in these programs, facility use, equipment use including those arising from their negligence to the maximum extent permitted by law.

I have carefully read and fully understand this Release of Liability and Assumption of Risk Agreement. I acknowledge that by signing this agreement, I voluntarily relinquish substantial legal rights and sign it freely and without any form of inducement, assurance, or guarantee. I understand the gravity of the risks involved in participating in Tamaya Wellness Center programs, sports events, equipment, utilizing aquatic facilities, ball fields, playgrounds, and campus grounds. I accept personal responsibility for adhering to all rules and regulations governing participation.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Age Acknowledgment*
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*

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*
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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 Age Acknowledgment*
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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