Waiver

INFORMED CONSENT – WAIVER OF LIABILITY

In consideration of being permitted to utilize the facilities, services and programs of the YMCA for any purpose including, but not limited to, observation or use of facilities or equipment, or participation in any off-site programs affiliated with the YMCA, the undersigned for himself, herself and any personal representatives, executors and administrators, WAIVE, RELEASE, DISCHARGE AND COVENANT NOT TO SUE the Sarasota Family YMCA, Inc., their directors, officers, employees and their agents for any and all injuries and other damages which he/she may suffer in connection with his/her participation in this program or any other activities. I understand that this release includes any claims based on negligence, action or inaction of the YMCA staff, directors, members and guests.

I HAVE READ AND AM VOLUNTARILY SIGNING THIS AUTHORIZATION AND RELEASE:

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Signed (Parent/Guardian if under 18)                

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Printed Name