2016 – 2017 CENTER ICE SKATING CLUB
2016-2017 Center Ice Skating Club and Center Ice Sports Complex
Waiver & Release of Liability, Assumption of Risk and Indemnity Agreement
In consideration of participating in Center Ice Skating Club and Center Ice Sports Complex activities, I (the “Participant”) represent that I understand the nature of figure skating activities (hereinafter the “Activity”) and that I am qualified, in good health and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the Activity.
I consent to the use of a jump harness in the course of the Activity. I understand that a belt will be attached to the skater’s waist in order to enable the skating instructor to lift the student three to five feet off the ice surface, to be pulled along and then lifted during the jump. The rope/pulley, which is part of the apparatus, is attached to a wire that is stretched over the ice surface.
I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by my own actions, or inactions, those of others participating in the Activity, the conditions in which the Activity takes place, or the negligence of the “Releasees” named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activity
I hereby release, discharge, and covenant not to sue the Center Ice Skating Club and Center Ice Sports Complex, United States Figure Skating, it’s director, officers, administrators, sponsors, volunteers, agents, employees, staff, instructor, trainers, coaches, other participants and if applicable, owners and lessors of premises on which the Activity takes place (each considered one of the “Releasees” herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost which any may incur as the result of such claim.
The Center Ice Skating Club and Center Ice Sports Complex have the right, but not the obligation, to provide rules, regulations and/or ice monitors for Club ice. We hereby acknowledge that the Center Ice Skating Club and Center Ice Sports Complex shall not be responsible for the supervision of the members at Club ic
I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT (herein the “Agreement”), understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.
Printed Name of Participant Date
Signature of Participant
PARENTAL CONSENT AND INDEMNIFICATION AGREEMENT
(Complete bottom portion in addition to the top portion of the Agreement if participant is under 18 years old.)
I, the minor’s parent and/or legal guardian, understand the nature of the above referenced activities and the minor’s experience and capabilities and believe the minor to be qualified to participate in such Activity. I hereby release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claims against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasees may incur as the result of any such claim.
Printed Name of Parent/Guardian Date
Signature of Parent/Guardian
(Copy to: Ice Monitor File; Rink) Revised 8/02/12