North Penn YMCA | Member Visit and Participation Waiver (Para ver este formulario en español, haga clic derecho y seleccione "traducir a español")
NOTICE:  THIS IS A LEGALLY BINDING AGREEMENT. Read this document carefully and in entirety. By signing this agreement, you give up your right to bring a court action to recover compensation or obtain any other remedy for any personal injury or property damage however caused arising out of your participation in North Penn YMCA Programs, now or at any time in the future.  Acknowledgment of Risk - I hereby acknowledge and agree that participation in any YMCA activities comes with inherent risks. I have full knowledge and understanding of the inherent risks associated with participation, including but in no way limited to: (1) slips, trips, and falls, (2) aquatic injuries, (3) athletic injuries, and (4) illness, including exposure to and infection with viruses or bacteria. I further acknowledge that the preceding list is not inclusive of all possible risks associated with participation and that said list in no way limits the operation of this Agreement. Coronavirus / COVID-19 Warning & Disclaimer - Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a mean to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in North Penn YMCA programs or accessing North Penn YMCA facilities could increase the risk of contracting COVID-19. North Penn YMCA in no way warrants that COVID-19 infection will not occur through participation in North Penn YMCA programs or accessing North Penn YMCA facilities. Waiver, Release, Indemnification & Covenant Not to Sue - In consideration of my participation in North Penn YMCA Programs and services, I, the undersigned participant, agree to release and on behalf of myself, my heirs, representatives, executors, administrators, and assigns, HEREBY DO RELEASE the North Penn YMCA, its officers, directors, employees, volunteers, agents, representatives and insurers (“Releasees”) from any causes of action, claims, or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I, my heirs, representatives, executors, administrators and assigns may have, now or in the future, against North Penn YMCA on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to the use of facilities/equipment or participation in North Penn YMCA programs whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to the negligence of Releasees. In consideration of my participation in YMCA programs and services, I, the undersigned participant, agree to INDEMNIFY AND HOLD HARMLESS Releasees from any and all causes of action, claims, demands, losses, or costs of any nature whatsoever arising out of or in any way related to my participation.I hereby certify that I have full knowledge of the nature and extent of the risks inherent in participation and that I am voluntarily assuming said risks.  I understand that I will be solely responsible for any loss or damage, including personal injury, property damage, or death, I sustain while participating in YMCA programs and services and that by signing this agreement I HEREBY RELEASE Releasees from all liability for such loss, damage, or death. I further certify that I am in good health and that I have no conditions or impairments which would preclude my safe participation in any YMCA program or service. I hereby certify that I have read the YMCA’s Policies and Procedures related to the transmission of Covid-19 including the face covering policy implemented on July 6, 2020, and agree to follow these as written. I understand that some staff and/or members may not be wearing a face covering during my visits to the Y as permitted by Pennsylvania Department of Health exceptions and I understand this may pose an additional risk to me. I further certify that I am of lawful age and otherwise legally competent to sign this agreement on behalf of myself or my family (Family YMCA Members).  I further understand that the terms of this agreement are legally binding and certify that I am signing this agreement, after having carefully read it, of my own free will. Click the following link to view the Member Policies & Procedures Regarding COVID-19 Transmission Prevention: https://www.northpennymca.org/join-our-y/membership-policies-and-procedures/
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