WAIVER AND RELEASE OF ALL CLAIMS

Directions: Please read this “Waiver and Release of All Claims” carefully. Understand that if you elect to sign this “Waiver and Release of All Claims,” you acknowledge that you are knowingly and voluntarily giving up certain rights that you may have, either individually or on behalf of your minor child or ward.

I understand that anytime I participate in activities like the one(s) I am registering to participate in by signing this form there are certain risks of physical injury that may arise. I fully understand that, while participating, I may be injured as a result any number of circumstances, including my own physical condition or carelessness, the carelessness of others, conditions resulting from inclement weather, slips and falls, premises defects, inadequate or defective equipment, inadequate supervision or instruction, and any other circumstances inherent in indoor and outdoor activities.

With full understanding of these risks, I voluntarily agree to assume the full risk of injury, damage, or loss resulting from my participation in any and all activities I am registering for. Therefore, I agree to waive and relinquish all claims that I might have, as a result of my participation, against the Village of Minooka, its officials, agents, volunteers, employees, contractors, and cooperating governmental units.

If I am signing on behalf of my minor child or ward, I further agree to waive and relinquish any and all claims that may arise on his or her behalf as a result of participating in these activities. Additionally, I waive and relinquish all claims I might have as a result of my minor child’s or ward’s participation in these activities.

I acknowledge that I have read and fully understand all of the terms of this “Waiver and Release of All Claims” and that I am voluntarily signing this form.

In addition, I understand that the Village of Minooka may, through its employees, agents, or contractors, photograph or video record the participants in the recreational programs and activities it offers. Such images may be used in publications, broadcasts, and on the Internet to inform the public about the Village of Minooka’s activities. I agree that in the event that I, or my minor child or ward, is photographed or recorded in this way, any images so produced may be used by the Village of Minooka as described, and I expressly authorize such use.

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Mandatory signature of participant Date

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Signature of Parent or Legal Guardian (if participant is under 18 years of age)