Camp Loma Mar Liability Waiver (No Zipline/Climbing Wall) Group 2025-2026 Logo
  • Camp Loma Mar Group Liability Waiver 2025-2026

    This form contains important legal waivers for participation at YMCA Camp Loma Mar. Please read each section carefully and sign at the bottom.
  • Please provide full name and date of birth of all participants:

    (Enter N/A for each line that is not used)

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  • YMCA Waiver and Release of Liability and Indemnity Agreement

  • YMCA of the East Bay – Release and Waiver of Liability

    In consideration of being permitted to utilize the facilities, services, and programs of the YMCA (or for my children to so participate) for any purpose, including, but not limited to observation or use of facilities or equipment, or participation in any off-site program affiliated with the YMCA, the undersigned, for himself or herself and such participating children and any personal respresentatives, heirs, and next of kin, herby acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will, inspect and carefully consider such premies and facilities or the affiliated program.  It is further warraned that such entry into the YMCA for observation or use of any facilities or equipment or participation in such affiliated program constitutes an acknowledgment that such premises and all facilities and equipment thereon and such affiliated program have been inspected and carefully considreed and that the undersigned finds and accepts same as being safe and reasonably 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 YMCA FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY OFF-SITE PROGRAM AFFILIATED WITH THE YMCA, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING: 

    1. THE UNDERSIGNED ON HIS/HER BEHALF AND BEHALF OF SUCH CHILDREN, HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the YMCA and all branches thereof, its directors, officers, employees, and agents (hereinafter referred to as "releases") from all liability to the undersigned or such children and all his personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands therefor on account of injury to the person or property or resulting in death of the undersigned or such children whether caused by negligence of the releasees or otherwise while the undersigned or such children is in, upon, or about the premises or any facilities of equipment therein or participating in any such program affiliated with the YMCA. 

    2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any, loss, liability, damage or cost they may, incur due to the presence of the undersigned or such children in, upon or about the YMCA premises or in any way observing or using any facilities or equipment of the YMCA or participating in any proram affiliated with the YMCA whether caused by negligence of the releasees or otherwise.

    3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMEAGE to the undersigned or such children due to negligence of releasees or otherwise while in, about, or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA.

    THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVERE, AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by 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 UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILTY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements or inducements apart from the foregoing written agreement has been made. 

  • Signature

    Parent/Guardian Signature for Participant Minor
  • I have read this Agreement and understand that I am giving up substantial rights by signing this Agreement and do so voluntarily and intend my signature to be a complete release of any and all liability of the Released Parties to the greatest extent allowed by law.  I also understand this Agreement is legally binding on me and my child, spouse, heirs, personal representatives, assigns, and next of kin. 

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