YMCA Liability Waiver RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT

IN CONSIDERATION of being permitted to utilize the facilities, ser ices and programs of the !"CA #or for m$ children to so participate% for an$ purpose, including, but not limited to obser ation or use of facilities or e&uipment, or participation in an$ off'site program affiliated (ith the !"CA, the undersigned, for himself or herself and such participating children and an$ personal representati es, heirs, and ne)t of *in, hereb$ ac*no(ledges, agrees and represents that he or she has, or immediatel$ upon entering or participating (ill, inspect and carefull$ consider such premises and facilities or the affiliated program+ It is further (arranted tha such entr$ into the !"CA for obser ation or use of an$ facilities or e&uipment or participation in such affiliate program constitutes an ac*no(ledgment that such premises and all facilities and e&uipment thereon and suc affiliated program ha e been inspected and carefull$ considered and that the undersigned finds and accepts same as being safe and reasonabl$ suited for the purpose of such obser ation, use or participation b$ the undersigned and such children+

IN ,-RT.ER CONSIDERATION O, /EIN0 1ER"ITTED TO ENTER T.E !"CA ,OR AN! 1-R1OSE INC NOT 2I"ITED TO O/SER3ATION OR -SE O, ,ACI2ITIES OR E4-I1"ENT, OR 1ARTICI1ATION IN AN! 1RO0RA" A,,I2IATED 5IT. T.E !"CA, T.E -NDERSI0NED .ERE/! A0REES TO T.E ,O22O5IN0

7+ T.E -NDERSI0NED, ON .IS OR .ER /E.A2, AND /E.A2, O, S-C. C.I2DREN, .ERE/! RE2EASES, 5 DISC.AR0ES AND CON3ENANTS NOT TO S-E the !"CA, its directors, officers, emplo$ees, and agents #hereinafter referred to as 8releases9% from all liabilit$ to the undersigned or such children and all his personal representati es, assigns, heirs, and ne)t of *in for an$ loss or damage, and an$ claim or demands therefore on account of in:ur$ to the person or propert$ or resulting in death of the undersigned, (hether caused b$ the negligence of the releases or other(ise (hile the undersigned or such children is in, upon, or about the premises or an$ facilities or e&uipment therein or participating in an$ program affiliated (ith the !"CA+

;+ T.E -NDERSI0NED .ERE/! A0REES TO INDE"NI,! AND SA3E AND .O2D .AR"2ESS the releases an of them from an$ loss, liabilit$, damage or cost the$ ma$ incur due to the presence of the undersigned or such children in, upon or about the !"CA premises or in an$ (a$ obser ing or using an$ facilities or e&uipment of the !"CA or participating in an$ program affiliated (ith the !"CA (hether caused b$ the negligence of the releases or other(ise+

<+ T.E -NDERSI0NED .ERE/! ASS-"ES ,-22 RES1ONSI/I2IT! ,OR AND RIS= O, /ODI2! IN>-R!, DEA 1RO1ERT! DA"A0E to the undersigned or such children due to negligence of releases or other(ise (hile in, about or upon the premises of the !"CA and?or (hile using the premises or an$ facilities or e&uipment thereon or participating in an$ program affiliated (ith the !"CA+

T.E -NDERSI0NED further e)pressl$ agrees that the foregoing RE2EASE, 5AI3ER AND INDE"NIT! A0REE"ENT is intended to be as broad and inclusi e as is permitted b$ the la( of the State of California an that if an$ portion thereof is held in alid, it is agreed that the balance shall, not(ithstanding, continue in full legal force and effect+

T.E -NDERSI0NED .AS READ AND 3O2-NTARI2! SI0NS T.E RE2EASE AND 5AI3ER O, 2IA/I2IT! INDE"NIT! A0REE"ENT, and further agrees that no oral representations, statements or inducement apart the foregoing (ritten agreement ha e been made+ I .A3E READ T.IS RE2EASE+
@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Signature of Applicant?1arent Date 1rint Name of Child in 1rogram Date @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ 1rint Name of Applicant?1arent Date 1rint Name of Child in 1rogram Date @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Signature of Applicant?1arent Date 1rint Name of Child in 1rogram Date @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ 1rint Name of Applicant?1arent Date 1rint Name of Child in 1rogram Date