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Inspiration Residential Homeowners’ Association Informed Consent, Release and Waiver Agreement

In an effort to maintain a safe environment for all residents and minimize risk to the Community Association, management requests your support and cooperation by reading and signing the following Informed Consent Agreement.

I, declare that I may use some or all of the facilities and participate in programs offered by the Inspiration Homeowner’s Association (the “Community Association”), including, but not limited to, fitness areas, swimming pool, pickleball courts, children’s zipline, craft and other workshops and meeting rooms and to participate in activities and events sponsored from time to time by the Community Association (the “events”). All of these activities and programs are collectively referred to as the “facilities”. In consideration for being allowed to use the facilities and participate in the events (collectively, the “activities”), I declare as follows:

I understand that each individual (myself included) has a different capacity for participating in such activities and services. I assume full responsibility during and after my participation for my choices to use or apply, at my own risk, any portion of the information or instruction I receive. I have read and agree to comply with the written rules and regulations for use of the facilities.

I understand that part of the risk involved in undertaking any activity or program is relative to my own state of fitness or health (physical, mental or emotional) and to the awareness, care and skill with which I conduct myself in that activity or program. I acknowledge that my choice to participate in any activity or programs at Inspiration brings with it my assumption of those risks or results stemming from this choice, and the fitness, health, awareness, care and skill that I possess and use.

I understand that participating in the activities may involve risk, including economic loss, health, disabilities or death, and I willfully and voluntarily assume those risks.

I accept personal responsibility always to act in a safe manner and to abide by the rules and regulations of the Community Association and to stop participating in the activities if I observe any unsafe condition or broken equipment, or if I experience any pain, discomfort or other symptoms that I may suffer during or after participating in the activities. I understand that I may stop or delay my participation in any activity or program if I so desire and that I may also be requested to stop and rest by an Association employee who observes any symptoms of distress or abnormal response, and I agree to comply with such directions.

I understand that I am responsible for obtaining appropriate insurance coverage when participating in activities and that the Community Association will not provide to me any insurance coverage.

I declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in any of the activities and programs of the facilities, or use of equipment or machinery except as hereinafter stated. I understand that I have been strongly advised to obtain my doctor’s approval before participating in the activities, especially any exercise, aerobics or fitness activities. I also acknowledge that I have been strongly advised to obtain yearly or more frequent physical examinations and to review with my doctor the activities that are best suited to me. I understand that my decision to participate in the activities is voluntary. The Community Association does not have the resources to review, and is not responsible for reviewing, my decision to participate in the activities. I acknowledge that I have either had a physical examination and been given my physician’s approval to participate in the activities, or I have elected to participate in the activities without the approval of my doctor and hereby assume all risk and responsibility for my participation in the activities.

By signing this document, I acknowledge that I have voluntarily chosen to participate in the activities. I assume all risk for my health and on behalf of myself, my heirs, beneficiaries, dependents and personal representatives, release and hold harmless Inspiration Homeowners’ Association, CCMC as managing agent and all of their respective officers, employees and agents from any responsibilities, liabilities, damages, or claims related to my participation in the activities.

Residents are responsible for the conduct of their guests. Residents and their guests shall not reprimand nor discipline any employee of the Community Association. Community Association staff will inform residents or guests of any violation of the rules and regulations of the Community Association, and, when necessary, report such actions to the Board of Directors.

I declare that the terms of this Informed Consent Agreement have been completely read and are fully understood by me and that if desired I have had the opportunity to consult with an attorney prior to executing it. I am freely and voluntarily executing this Informed Consent, Release and Waiver for the purpose of making a full and final compromise and settlement of any and all claims, disputed or otherwise, related to the facilities and programs described above.

I understand that I must always accompany my guests to the amenity center, fitness center, pool(s), and all other amenities. I agree that I will not allow my guests to independently use my access card to enter/use the amenity center, fitness center, pool(s), and all other amenities. I understand that if my guests are found to be utilizing the amenity center, fitness center, pool(s), and all other amenities without me present, the guests will be asked to leave immediately. Violating the rule requiring residents to accompany guests at all times may result in the residents’ access card(s) being permanently deactivated.

Inspiration Homeowners' Association Access Card for the Amenity

I have read the Inspiration Bylaws and will abide by the rules and regulations of the amenity center, fitness center, pool(s), and all other amenities.

I agree to notify the Community Association office immediately if I lose my access card(s), move out of the home, lease my home or sell my home. I agree to return my access card(s) to the Community Association office when I sell my home. In the event of a lost access card, the Community Association office will be responsible for ordering new cards. The cost to replace a lost access card will be $50.00, payable by check to Inspiration Residential Association and is non-refundable, even if the lost access card is subsequently found.



First Caregiver Name

First Name*

Last Name*

Phone*
First Caregiver Age Acknowledgment*
First Caregiver Date of Birth*
I certify that I am 18 years of age or older
First Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
First Caregiver Signature*
Second Caregiver Name

First Name*

Last Name*
Second Caregiver Date of Birth*
Second Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Third Caregiver Name

First Name*

Last Name*
Third Caregiver Date of Birth*
Third Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Fourth Caregiver Name

First Name*

Last Name*
Fourth Caregiver Date of Birth*
Fourth Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Fifth Caregiver Name

First Name*

Last Name*
Fifth Caregiver Date of Birth*
Fifth Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Sixth Caregiver Name

First Name*

Last Name*
Sixth Caregiver Date of Birth*
Sixth Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Seventh Caregiver Name

First Name*

Last Name*
Seventh Caregiver Date of Birth*
Seventh Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Eighth Caregiver Name

First Name*

Last Name*
Eighth Caregiver Date of Birth*
Eighth Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Ninth Caregiver Name

First Name*

Last Name*
Ninth Caregiver Date of Birth*
Ninth Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Tenth Caregiver Name

First Name*

Last Name*
Tenth Caregiver Date of Birth*
Tenth Caregiver for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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*

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 for Inspiration Address

Click to customize text box label
I understand that the lot owner will need to be bring a check for $30 delivered to the Association Office before Mobile Access Credentials will be released to Care Giver. Care Giver passes are valid from Memorial Day to Labor Day in the same Calendar Year. *
Yes
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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