Syracuse Ultimate Indoor Signup
Wednesdays - 9pm - 10:25 @ Sport Center 481

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Name *
Week *
Gender Identity & Student Status *
I will pay *
Participant fees are used to help, but not completely, offset the cost of renting the facility
Waiver & Release of Liability
**GENERAL**

In consideration of being allowed to participate in any way in the Syracuse Ultimate Leagues, related events and activities, the undersigned acknowledges, appreciates and willingly agrees that:

    1.       I will comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
    2. I acknowledge and fully understand that each participant will be engaging in activities that involve risk or serious injury, including permanent disability and death, and severe social and economic losses which may result not only from their own actions, inactions or negligence but the action, inaction, or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, I accept personal responsibility for the damages following such injury, permanent disability or death.
    3. I knowingly and freely assume all such risk, both known and unknown, even those arising from the negligent acts or omissions of others, and assume full responsibility for my participation.
    4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, and agree to hold harmless Syracuse Ultimate, its officers, officials, affiliated clubs, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, advertisers, and, if applicable owners and lessors of premises used to conduct the event, all of which are hereinafter referred to as “releasees", with respect to all and any injury, disability, death or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law. I will indemnify, save and hold harmless above named releasees of, from and against any loss, cost, expense, damage or liability that such releasees may incur as a result of, arising from or in connection with such claim, including without limitation any attorney's fees, or other costs or expenses or litigation.

**COVID SPECIFIC**

I acknowledge the contagious nature of the COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that Syracuse Ultimate cannot guarantee that I will not become infected with the COVID-19.

I am voluntarily participating in events being organized by Syracuse Ultimate and acknowledge that I am increasing my risk to exposure to the Coronavirus.

I attest that:
I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
I have not traveled internationally within the last 14 days.
I do not believe I have been exposed to someone with a suspected and/or confirmed case of the COVID-19.
I am following all CDC recommended guidelines as much as possible and limiting my exposure to the COVID-19.

I have read this release of liability and assumption of risk agreement, fully understand its terms, and understand that I have given up substantial rights by signing it and sign it freely and voluntarily without any inducement
Waiver & Release of Liability - Participant Signature *
*TO SIGN THE WAIVER & RELEASE, TYPE IN YOUR NAME BELOW*
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