PLEASE READ THIS DOCUMENT CAREFULLY BEFORE SIGNING. THIS IS A LEGALLY BINDING DOCUMENT. THIS COMPLETED AND SIGNED FORM MUST BE SUBMITTED BEFORE ANY PERSON IS ALLOWED TO PARTICIPATE IN THE ABOVE EVENT.
I, the undersigned, wish to voluntarily participate in the above-referenced event on the dates and times as indicated above and, in consideration of the mutual covenants and conditions contained in this Agreement, I hereby agree as follows:
I acknowledge, understand and appreciate that as part of my participation in this event there are dangers, hazards and inherent risks to which I may be exposed, including the risk of serious physical injury, temporary or permanent disability, and death, as well as economic and property loss. The
dangers, hazards and risks may arise from my own actions, inactions, or negligence as well as from the actions, inactions or negligence of others, or the condition of the premises. I also acknowledge and understand that there may be other dangers, hazards or risks not presently known or reasonably
foreseeable. Therefore, I voluntarily accept and assume all risk of injury, loss of life or damage to property arising out of training, preparing, participating and traveling to or from this event.
I hereby release the Young Men’s Christian Association of Metropolitan Atlanta, Inc. and all of its officers, directors, employees and agents (hereinafter “YMCA”) from any and all liability as to any right of action that may accrue to my heirs or representatives for any injury that I may suffer while training, preparing, participating and/or traveling to or from this event. This agreement is binding on my heirs and assigns.
I furthermore release, indemnify and hold harmless YMCA from and against any and all liability, actions, debts, claims and demands of every kind whatsoever, specifically including, but not limited to, any claim for negligence or negligent acts or omissions and any present or future claim, loss or
liability for injury to person or property that I may suffer, for which I may be liable to any other person, that may or does arise out of my participation in the event. I understand that YMCA accepts no responsibility for my personal property. I agree to be accountable in all respects for my own
conduct and all actions, claims and demands for damages, loss and injury which may arise as a result of my own conduct.
In the event of an accident or serious illness, I hereby authorize representatives of YMCA to obtain medical treatment for me and on my behalf. I hereby hold harmless and agree to indemnify YMCA from any claims, causes of action, damages and/or liabilities, arising out of or resulting from
said medical treatment. I understand that YMCA does not provide any medical, dental or life insurance to cover bodily injury, illness or death; nor insurance for personal property damage or loss; nor insurance for
liability arising out of my negligent acts or omissions; and I acknowledge that I am completely responsible for my own insurance or financial resources to cover expenses related to these things.
This Agreement shall be governed by and construed under the laws of Georgia. I agree that any legal action or proceeding relating to this Agreement, or arising out of any injury, death, damage or loss as a result of my participation in any part of the event, shall be brought only in the Superior Court of Fulton
County, Georgia. I, the undersigned have been given ample time to read and understand this Agreement and fully accept its contents and conditions and agree to them by signing this Agreement voluntarily. I understand that I am giving up substantial rights (including my right to sue) and acknowledge that I am signing this document freely and voluntarily and intend by my signature to provide a complete and unconditional release of all liability to the greatest extent allowed by law. My signature on this document is intended to bind not only myself but also my successors, heirs, representatives, administrators, and assigns. The information I have provided is disclosed accurately and truthfully.