• Vineyard Community Center/Vineyard Columbus Sports & Exercise Waiver

  • Do you have any of the following? (Select all that apply):*
  • Agreement to indemnify, and not sue, and release of all claims. Please read carefully - by signing, you waive certain legal rights.

     

    I desire for myself or my child listed above (collectively, whether one or more, the “Participant”), voluntarily and with full assumption of all risks, to participate in the Vineyard Community Center program(s) described above and all incidental activities (collectively, the “Activity”), and in consideration of your acceptance of this registration, I agree, for myself, the Participants, and my/their respective representatives and successors-in-interest to waive and release Vineyard Community Center and Vineyard Columbus and their respective officers, trustees, directors, employees and agents from all liability for any injury, damage, or loss incurred or suffered by any Participant resulting directly or indirectly from any Participant’s participation in any Activity, including without limitation the provision of any first aid, emergency or other medical attention necessitated by the Participant’s participation in any Activity. I hereby grant and give Vineyard Community Center and Vineyard Columbus the right to use each Participant’s photograph or image with or without my/our names, both single and in conjunction with other persons or objects for any and all purposes, including but not limited to private or public presentations, advertising, publicity and promotion.

  • Today's date:*
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  • Is the participant a minor (under 18 years old)?*
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