Program / Activity Registration Form

Waiver & Release of all claims. Program/activity participation. Waiver, Release of all claims and hold harmless agreement for Skyline Athletes.

The inclusion of multiple participants on one form is intended only for several members of the same family and/or an individual from a family who are participating in one or more programs/activities. This is only permitted if all persons listed claim the same address as their principle residence and have the same parent or legal guardian. Include the last name for each participant, especially if they are not all the same. If multiple participants are listed and one is a minor and one is over 18 years of age, both the parent/legal guardian and the other adult must sign the waiver.

ATTENTION PARENTS: The Soccer/Basketball Combo class that starts Monday, Nov 4th is FULL & registration is closed.


PLEASE READ CAREFULLY

IF REGISTERING FOR A FIELD TRIP, I HEREBY GIVE MY CONSENT AND/OR PERMISSION FOR MY CHILD TO ATTEND A FIELD TRIP WITH THE SKYLINIE ATHLETES LLC,  AS DESCRIBED ABOVE. MY CHILD SHALL BE SUBJECT TO ALL REASONABLE AUTHORITY AND DIRECTION OF THE CHAPERONS ACCOMPANYING THE TRIP.

Please read this form carefully and be aware that, in signing up and participating in the above program/activity, you will be waiving and releasing all claims for injuries, arising out of this program/activity that you or the above participant(s) might sustain. The terms “I,” “me,” and “my” also refer to parents or guardians as well as the participants in the program/activity. In registering for the program/activity, you are agreeing as follows:

As a participant in the program/activity, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risks of any injuries, including death, damages or loss which I may sustain as a result of participating, in any manner, in any and all activities connected with or associated with such program/activity. I further recognize and acknowledge that all athletic activities involving strenuous exertion or potential body contact are hazardous recreational activities and involve substantial risks of injury.

I agree to waive and relinquish any and all claims I may have as a result of participating in the program/activity against the Skyline Athletes LLC, any and all other participating or cooperating governmental units, any and all independent contractors, officers, agents, servants, volunteers and employees of the governmental bodies and independent contractors and any and all other persons and entities, of whatever nature, that might be directly or indirectly liable for any injuries that I might sustain while participating in the program/activity. (The parties described in the preceding sentence are referred to as “released parties” in the remainder of the Agreement.)
I do hereby fully release and discharge the Skyline Athletes LLC and any and all other released parties, from any and all claims resulting from injuries, including death, damages and losses sustained by anyone and arising out of, connected with or in any way associated with my conduct and the activities of the program/activity.

I further agree to indemnify, hold harmless and defend the Skyline Athletes LLC and any and all other released parties, from any and all claims resulting from injuries, including death, damages and loss sustained by anyone and arising out of, connected with, or in any way associated with my conduct and the activities of this program/activity.

I further understand and agree that the terms such as “participation,” “program” and “activities,” referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in the program/activity and further include the provision of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment and apparatus and anything related to my use of the services, facilities or premises involved in the program/activity.

I understand the nature of the program/activity for which I am registering and have read, and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisements or warnings of the particular risks of this program/activity that I subsequently receive will be incorporated by reference into and become a part of this Agreement.

WAIVER AND RELEASE SPECIAL WARNINGS
ADDITIONAL WARNINGS FOR AEROBICS ACTIVITIES

An aerobic exercise is an activity in which, despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a substantial risk of injury. Dependent upon a person’s physical condition, age and skill level, aerobics activities can involve a substantial risk of the following types of injuries. This list is by no means complete, but includes some of the more common ones:
1. Heart attack, stroke and circulatory problems;
2. Bone and joint injuries;
3. Back injury;
4. Shin splints;
5. Muscle strain and other muscle injuries;
6. Foot problems;
7. Eye Safety (especially with Floor Hockey; Eye Protection is recommended)

I have read and fully understand the above risk warnings of the program/activity. I understand that the Skyline Athletes LLC does not provide insurance or protection against injuries sustained by program/activity participants and I fully accept the risk of injury. I also understand and agree that this document is valid in and of itself as a waiver and release form and adds to or confirms any promises made in a Waiver, Release and Hold Harmless Agreement included in the registration for this program/activity.