Durham Recreation and Park District Waiver
DURHAM RECREATION AND PARK DISTRICT AGREEMENT, WAIVER AND RELEASE - ALL PARTICIPANTS OR PARENTS/GUARDIANS MUST READ BEFORE SIGNING
IN CONSIDERATION FOR BEING PERMITTED BY THE DURHAM RECREATION AND
PARK DISTRICT TO PARTICIPATE IN ATHLETIC ACTIVITY INVOLVING SWIM TEAM ACTIVITIES, I HEREBY WAIVE, RELEASE, AND DISCHARGE ANY AND ALL CLAIMS FOR DAMAGES FOR PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE WHICH I MAY HAVE OR WHICH MAY HEREAFTER ACCRUE AS A RESULT OF MY PARTICIPATION IN SAID ACTIVITY. THIS RELEASE IS INTENDED TO DISCHARGE IN ADVANCE THE ABOVE DISTRICT (ITS OFFICERS, EMPLOYEES, AND AGENTS) FROM AND AGAINST ANY AND ALL LIABILITY ARISING OUT OF OR CONNECTED IN ANY WAY WITH MY PARTICIPATION IN SAID ACTIVITY. I UNDERSTAND THAT THE ABOVE ACTIVITY MAY BE OF A HAZARDOUS NATURE AND/OR INCLUDE PHYSICAL AND/OR STRENUOUS EXERCISE OR ACTIVITY; AND THAT PARTICIPANTS IN THE ABOVE SPORT OR ACTIVITY OCCASIONALLY SUSTAIN MORTAL OR PERSONAL INJURIES AND/OR PROPERTY DAMAGES AS A CONSEQUENCE THEREOF. KNOWING THE RISKS INVOLVED, NEVERTHELESS, I HAVE VOLUNTARILY APPLIED TO PARTICIPATE IN SAID ACTIVITY AND I HEREBY AGREE TO ASSUME ANY AND ALL RISKS OF INJURY OR DEATH AND TO RELEASE AND HOLD HARMLESS THE ABOVE DISTRICT, ITS OFFICERS, EMPLOYEES, AND AGENTS. IT IS FURTHER UNDERSTOOD AND AGREED THAT THIS WAIVER, RELEASE, AND ASSUMPTION OF RISKS IS TO BE BINDING ON MY HEIRS AND ASSIGNS. I FURTHER AGREE TO INDEMNIFY AND TO HOLD THE ABOVE DISTRICT (ITS OFFICERS, EMPLOYEES, AND AGENTS) FREE AND HARMLESS FROM ANY LOSS, LIABILITY, DAMAGE, COST OR EXPENSE WHICH THEY MAY INCUR AS A RESULT OF ANY INJURY AND/OR PROPERTY DAMAGE THAT I MAY SUSTAIN WHILE PARTICIPATING IN SAID ACTIVITIES.
**PARENTAL CONSENT: (TO BE COMPLETED AND INITIALED BY PARENT/GUARDIAN IF APPLICANT IS UNDER 18 YEARS OF AGE). I HEREBY CONSENT THAT THE REGISTERED CHILDREN MAY PARTICIPATE IN THE ACTIVITIES, AND I HEREBY EXECUTE THE ABOVE AGREEMENT, WAIVER, AND RELEASE ON HIS/HER BEHALF. I STATE THAT SAID MINOR IS PHYSICALLY ABLE TO PARTICIPATE IN SAID ACTIVITIES. I HEREBY AGREE TO INDEMNIFY AND HOLD THE PERSONS HARMLESS FROM ANY LOSS, LIABILITY, DAMAGE, COST OR EXPENSE WHICH THEY MAY INCUR AS A RESULT OF THE DEATH OR INJURY OR PROPERTY DAMAGE THAT SAID MINOR MAY SUSTAIN WHILE PARTICIPATING IN SAID ACTIVITIES.
I HAVE CAREFULLY READ THE ABOVE AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE ABOVE DISTRICT AND SIGN IT OF MY OWN FREE WILL.
YES, I AGREE.
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