Leola Pool Activity Waiver (required by league)
NOTICE: THIS IS A LEGALLY BINDING AGREEMENT. Read this document carefully and in entirety. By signing this agreement, you give up your right and the named minor’s right to bring a court action to recover compensation or obtain any other remedy for any personal injury or property damage however caused arising out of the named minor’s participation in Conestoga Valley Summer Swim Team (“CVSST”) Programs, now or any time in the future, located at the Leola Community Pool which is managed by the Lancaster Family YMCA (“YMCA”).
Acknowledgment of Risk
I, in my legal capacity as the parent/guardian of the minor named below, do hereby acknowledge and agree that participation in CVSST activities comes with inherent risks. I have full knowledge and understanding of the inherent risks associated with CVSST participation, including but in no way limited to: (1) slips, trips, and falls, (2) drowning, near drowning, (3) aquatic injuries related to diving into a depth of 4 feet, (4) other athletic injuries, and (5) unforeseen medical events. I further acknowledge that the preceding list is not inclusive of all possible risks associated with CVSST participation and that said list in no way limits the operation of this Agreement.
Waiver, Release, Indemnification & Covenant Not to Sue
In consideration of my child(children's) participation in CVSST, I, the parent/guardian of the minor named above, agree to release and on behalf of myself and the minor named above, my heirs, representatives, executors, administrators, and assigns, HEREBY DO RELEASE CVSST and YMCA, its officers, agents, and employees from any causes of action, claims, or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I, the named minor, my heirs, representatives, executors, administrators and assigns may have, now or in the future, against CVSST and YMCA on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to the use of CVSST and YMCA facilities/equipment or participation in CVSST programs whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to the negligence of CVSST and YMCA, its officers, agents, and employees.
In consideration of the named minor’s participation in CVSST, I, the undersigned parent/guardian of the named minor, agree to INDEMNIFY AND HOLD HARMLESS CVSST and YMCA, its agents and employees from any and all causes of action, claims, demands, losses, or costs of any nature whatsoever arising out of or in any way related to the named minor’s CVSST participation.
I hereby certify on behalf of myself and the named minor that I have full knowledge of the nature and extent of the risks inherent in CVSST participation and that I, on behalf of myself and the named minor, am voluntarily assuming said risks. I understand that I and the named minor will be solely responsible for any loss or damage, including personal injury, property damage, or death, the named minor sustains while participating in CVSST and that by signing this agreement I hereby, on behalf of myself and the named minor, release CVSST and YMCA, its officers, agents, and employees of all liability for such loss, damage, or death. I further certify that the named minor is in good health and has no conditions or impairments which would preclude his/her safe participation in CVSST.
I, in my legal capacity as parent/guardian of the named minor, expressly agree, on behalf of myself and the named minor, that this document is intended to be as broad and inclusive as permitted by the law of Pennsylvania and that if any portion of the document is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Furthermore, I expressly agree that this document shall be governed by and interpreted in accordance with the laws of Pennsylvania and that the courts of Lancaster County, Pennsylvania shall be the exclusive venue for any and all disputes relating to or arising from this document.
I further certify that I am of lawful age (18 years or older) and otherwise legally competent to sign this agreement, and that I have legal capacity to act as the parent/guardian of the named minor. I further understand that the terms of this agreement are legally binding and certify that I am signing this agreement, after having carefully read it, of my own free will. The foregoing written agreement represents the entire understanding between the parties. No oral representations, statements or inducement apart from the foregoing written agreement have been made.
YES, I AGREE.
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