Warning of Risk; Waiver and Release of All Claims and Assumption of Risk Agreement:
Please read this form carefully and be aware that allowing the student athlete with Dieterich Unit 30 School District to utilize the Wright Family Center, including, but not limited to, utilizing the equipment, studio, gymnasium, and other facilities of Wright Family Center, and/or participating in any program/activity at or through the Wright Family Center, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you, and/or your children might sustain as a result of participating in any and all activities connected with and associated with a utilizing the Wright Family Center, including, but not limited to, utilizing the equipment, studio, gymnasium, and other facilities of Wright Family Center, and/or participating in any program/activity at or through the Wright Family Center.
I recognize and acknowledge that there are certain inherent risks of physical injury associated with utilizing the fitness equipment, gymnasium, studio, and facilities in the Wright Family Center, and while engaging in all programs and activities relating thereto. Accordingly, as consideration for my minor child/children being allowed to utilize the Wright Family Center as a student athlete with Dieterich Unit 30 School District, being allowed to use the equipment and facilities of the Wright Family Center, and being allowed to participate in programs and activities at or through the Wright Family Center, I agree to the following:
I acknowledge and fully understand that my children will be engaging in activities that involve risk or serious injury, which may include permanent disability and even death, and severe social and economic losses which might result not only from my children’s actions, but also from the action, inaction or negligence of others, the rules of play, or the condition of the premises, or any equipment used, and further that there may be risks not known or not reasonably foreseeable to me or my children. I affirm that my children are in good physical condition and do not suffer from any disability or condition that would prevent or limit my children’s use of the facilities or participation in sports or training activities. I expressly assume all risks of injury to myself and my children, including death, which may occur in use of the facilities or participation in program/activities at or through the Wright Family Center including, but not limited to, any sports or training activities. I expressly assume all risks of injury, including death, which may occur in connection with my children’s participation in programs or activities at the Wright Family Center. I agree to assume all foregoing risks and accept full responsibility for my children’s damages following such injury, permanent disability, or death. I release, waive, discharge and agree not to sue the Wright Family
Center, it’s owner and management company and all their respective agents, affiliates, associates, officers, directors, and employees (Collectively “Releases”) from all demands, losses, or damages on account of any bodily injury, death or property damage caused or alleged to be caused in whole or in part by release or any other party’s actions, inactions, or otherwise. I also agree to indemnify release from any and all third party claims caused in whole or in part by my actions and/or my children’s actions. I consent to emergency medical care and transportation in order to obtain treatment in the event of injury to my children as Wright Family Center may deem appropriate. This release extends to any liability arising out of or in any way connected with medical treatment and transportation provided in the event of an emergency. I expressly agree that the terms of release and indemnity contained herein are intended to be as broad and inclusive as is permitted by the laws of the State of Illinois. If any provision of this Waiver and Release of All Claims and Assumption of Risk Agreement is determined to be invalid, illegal or unenforceable in any respect as written, such provision shall be automatically modified to the minimum extent necessary to make it enforceable and the provision as so modified shall be enforced, without invalidating the Agreement as a whole. I have read and understand the above Waiver and Release of All Claims and Assumption of Risk Agreement and acknowledge that by signing below, I have given up substantial rights.
I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering for activities or programs via fax or online through the internet, my facsimile or electronic signature shall be substituted for and have the same legal effect as an original form signature.
Acknowledgements: I have read and received copies of this Non-Member Unit 30 Student Athlete Application and Agreement, as well as the Fitness Center Rules and Gymnasium Rules. I further acknowledge that permission to utilize the Wright Family Center, as granted herein, may be terminated or revoked by Wright Family Center, at its sole discretion, at any time.
Athletic PE students must have teacher present to work out.
