ACTIVITY: ALL YOUTH SPORTS, PROGRAMS, AND ACTIVITIES AT FACILITIES OWNED BY ISLAMORADA, VILLAGE OF ISLANDS
PLEASE DESCRIBE ANY SPECIAL MEDICAL NEEDS/CONDITIONS ON REVERSE SIDE INDEMNITY AND RELEASE I, the undersigned parent or legal guardian of the minor, whose name appears above, consent and agree that the above-named minor may participate in the Village sponsored or provided activities. The undersigned further agrees that Islamorada, Village of Islands (the “Village”) and its officers, agents, representatives, volunteers and employees will not be held liable for injuries or other loss sustained by the minor which occur as a result of the above-named minor’s participation in the Village sponsored or provided activities. The undersigned hereby authorizes the Village to call my physician and/or arrange for transportation to a hospital in the event of any injury, although I understand that the Village and its officers, agents and employees assume no responsibility to do so The undersigned parent/guardian, specifically WAIVES ANY CLAIM against the Village and its officers, agents, representatives, volunteers and employees. The undersigned hereby RELEASES, DISCHARGES AND COVENANTS NOT TO SUE the Village any loss, injury or damage or death sustained by the above-named minor that arises out of participation in the Village sponsored or provided activities, whether caused in whole or part by the negligence of the Village or by the negligence of the officers, agents, representatives, volunteers, or employees by the village. Further, the undersigned parent/guardian, agrees to INDEMNIFY, DEFEND AND HOLD HARMLESS the Village and its officers, agents, representatives, volunteers and employees from any and all claims, actions, demands, rights, judgments or expenses arising from or by reason of any and all known damages, claims or actions arising from the above-named minor’s participation in the Village sponsored or provided activities. The undersigned understands that the Village is not responsible for damage to or loss of money or personal property arising during or before or after the minor child’s participation in any activity. This WAIVER, RELEASE and INDEMNITY shall continue notwithstanding any negligence or comparative negligence on the part of the Village relating to any loss, injury or damage. Participant also acknowledges and understands that the Village and its contractors, partners and/or sponsors may use photographs, video or film for educational, informational or promotional purposes, and Participant hereby grants the Village and its contractors, partners and sponsors permission to use images of Participant or Participant’s likeness for any purpose with no compensation or liability. The undersigned parent/guardian, also agree that this Waiver and Release form shall be binding on my heirs, successors and assigns. By signing below, the undersigned parent/guardian acknowledges that (he/she) has fully read, understood and agrees to each and every term contained in this Waiver and Release.
Today's Date: February 14, 2025
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