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Informed Consent & Release Form

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9-22-02

INFORMED CONSENT AND RELEASE

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WHEREAS, the undersigned seeks to use certain common area recreational facilities (the "Facilities") managed by the Beverly Glen Park Homeowners Association, Inc. (the "Association"); and

 

WHEREAS, access to the Facilities, including the exercise room at the Beverly Glen Park condominium project (the "Exercise Room"), the tennis courts and the basketball courts is dependent upon the undersigned agreeing to the terms and conditions contained herein, which are acceptable to the undersigned;

Now, therefore, the undersigned agrees as follows.

The undersigned recognizes that use of the Facilities, and particularly the Exercise Room, is strictly voluntary and may be of a hazardous nature including strenuous physical exercise or activity.

 

The undersigned states that to the best of the undersigned's knowledge, the undersigned has no medical, physical, mental or emotional health conditions which would hinder or prevent the undersigned's active use of any of the Facilities.

 

The undersigned further understands and acknowledges that it could be dangerous and injurious to use the equipment located at the Exercise Room unless the undersigned is properly oriented and trained in the proper methods of use of such equipment which orientation and training is not furnished by the Association.

The undersigned, and in the event the undersigned is under 18 years of age, the undersigned's parent(s) or guardian(s), in consideration of the request and permission to use the Facilities hereby assumes full responsibility for all risk of injury or loss which may result from the undersigned's use of any of the Facilities and hereby agrees to indemnify, defend, hold harmless, release and forever discharge the Association and its officers, directors, members, employees, representatives and agents (hereinafter collectively the "Indemnitees") of and from any and all acts of negligence and all claims and demands whatsoever, which the undersigned, any third person, or any persons acting on their behalf, have or may have against any of the Indemnities by reason of any accident, illness, injury to or death of any person or persons or damage to or loss or destruction of any property arising or resulting directly or indirectly from any use of any of the Facilities.

 

The terms of this release will serve as a release and assumption of risk for the undersigned and his/her heirs, successors, executors and administrators and all of the undersigned's family members. If instructors employed by the Association are utilized at any of the Facilities they shall be covered by this release without regard to the nature of such instructors' relationship, if any, to the undersigned.


 

 

The undersigned further acknowledges that if the undersigned allows any guests, including family members, to use any of the Facilities, such guests, including family members, must sign an Informed Consent and Release identical to this document prior to using the Facilities and the undersigned agrees to assume full responsibility for obtaining the signature of the undersigned's guests/family members on such an Informed Consent and Release and agrees to indemnify, defend and hold harmless each of the Indemnitees of and from any claims which result from the use of any of the Facilities or which would have been barred if such an Informed Consent and Release had been signed.

. Nothing herein shall be construed as a waiver of any rights or benefits which would otherwise be available under any applicable medical or worker's compensation insurance carried by or for the benefit of the undersigned.   

                                                                                                   .

The Association reserves the right to exclude anyone from the Facilities if the Association, in its reasonable belief, believes that such person's continued use may be dangerous, such person has demonstrated any inappropriate behavior or has violated any of the Association's rules for use of the Facilities which may be established from time to time.

 

 

PLEASE NOTE THAT THE ASSOCIATION STRONGLY RECOMMENDS THAT EACH PERSON WHO USES ANY OF THE FACILITIES HAVE SOME TYPE OF ACCIDENT MEDICAL INSURANCE FOR HIS/HER OWN PROTECTION.

 

Dated:  _________________

 

                                                                                    _ ____________________________________

                                        Name of Participant(print)

 

                                                                                      _____________________________________

                                        signature of participant/Guest

 

 

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