ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THIS ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence
or carelessness on the part of the persons or entities being released, from dangerous or defective equipment
or
property owned, maintained, or controlled by them, or because of their possible liability without fault.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors,
and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event.
I accept all responsibility for my guests and their behavior, and their safety. I acknowledge that I am a member owner of River Aire Swim Club, and per the by laws, I will follow the rules set forth by RASC and the State of Illinois.
In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my
executors, administrators, heirs, next of kin, successors, my guests, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling
to
and from this event, THE FOLLOWING ENTITIES OR PERSONS: River Aire Swim Club (RASC), and/or their directors, officers, employees, volunteers, representatives, and agents, the activity or event holders, activity or event sponsors, activity or event volunteers;
(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise.
I acknowledge that the RASC and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on behalf of the RASC.
I acknowledge that this activity or event may involve a test of a person's physical and mental limits and may carry
with it the potential for death, serious injury, and property loss. The risks may include, but are not limited to, those
caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, actions of
other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, and event
monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to participants, but
are also present for volunteers.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity or event that at this event or related activities.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.