Alpert JCC Waiver Form for Families, Couples and Individuals
All Adults 18 years & Over Must Sign – Children Sign at the Bottom
In consideration of being permitted to utilize the facilities, services and programs of the Jewish Community Center of Long Beach, Jewish Federation of Greater Long Beach and West Orange County, and Jewish Family and Children’s Services (or my children to so participate) for any purpose, including, but not limited to observation or use of facilities or equipment or participation in any offsite program affiliated with the Jewish Community Center of Long Beach, Jewish Federation of Greater Long Beach and West Orange County, and Jewish Family and Children’s Services, the undersigned for himself or herself and such participating children and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has or immediately upon entering or participating will inspect and carefully consider such premises and facilities or the affiliated program. It is further warranted that participation in such affiliated program constitutes and acknowledgement that such premises and all facilities and equipment thereof and such affiliated programs have been inspected and carefully considered and that the undersigned finds and accepts same as being safe and reasonable suited for the purpose of such observation, use or participation by the undersigned and such children.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE JEWISH COMMUNITY CENTER OF LONG BEACH, JEWISH FEDERATION OF GREATER LONG BEACH AND WEST ORANGE COUNTY, AND JEWISH FAMILY AND CHILDREN’S SERVICES FOR ANY PURPOSE INCLUDING BUT NOT LIMITED TO OBSERVATION, USE OF FACILITES OR EQUPIMENT, OR PARTICIPATION IN ANY OFFSITE PROGRAM AFFILIATED WITH THE JEWISH COMMUNITY CENTER OF LONG BEACH, JEWISH FEDERATION OF GREATER LONG BEACH AND WEST ORANGE COUNTY, AND JEWISH FAMILY AND CHILDREN’S SERVICES, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:
THE UNDERSIGNED on his or her behalf and behalf of such children, to the extent permitted by law, HEREBY RELEASES, WAIVES, DISCHARGES, AND CONVENANTS NOT TO SUE the Jewish Community Center of Long Beach, Jewish Federation of Greater Long Beach and West Orange County, and Jewish Family and Children’s Services, its directors, officers, employees, and agents (hereinafter referred to as
the ‘releases’) from all liability to the undersigned or such children and all his personal representatives, assigns, hers, and next of kin for any loss or damage, and any claim or demands therefore in account of injury to the person or property or resulting in death of the undersigned or such children whether caused by the negligence of the releases or otherwise, while the undersigned or such children is
in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with the Jewish Community Center of Long Beach, Jewish Federation of Greater Long Beach and West Orange County, and Jewish Family and Children’s Services.
THE UNDERSIGNED, to the extent permitted by law, HEREBY AGREES TO INDEMNIFTY AND SAVE AND HOLD HARMLESS the releases and
each of them form any loss, liability, damage or cost they may incur due to the presence of the undersigned or such children in, upon or about the Jewish Community Center of Long Beach, Jewish Federation of Greater Long Beach and West Orange County, and Jewish Family and Children’s Services premises or in any way observing or using any facilities or equipment of the Jewish Community Center
of Long Beach, Jewish Federation of Greater Long Beach and West Orange County, and Jewish Family and Children’s Services or participating in any program affiliated with the Jewish Community Center of Long Beach, Jewish Federation of Greater Long Beach and West Orange County, and Jewish Family and Children’s Services whether caused by negligence of the release or otherwise. THE UNDERSIGNED, to the extent permitted by law, HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE to the undersigned or such children due to the negligence of releases or otherwise while using the premises or
any facilities or equipment thereon or participating in any program affiliated with the Jewish Community Center of Long Beach, Jewish Federation of Greater Long Beach and West Orange County, and Jewish Family and Children’s Services.
THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
The UNDERISNGED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT and further agrees that no oral representations, statements or inducement apart from the foregoing written agreement have been made.