Bergfeld recreation waiver

Please complete & sign form at the end of waiver

In consideration of being allowed to enter the play area, courts and/or participate in any party, program or trade show with Bergfeld Recreation, the undersigned, on his or her own behalf, and on behalf of the participant(s) including those identified below (collectively referred to as “Participants”), acknowledges, represents and agrees to the following conditions:

1. I am the parent or legal guardian of the participant(s) named below, or I have obtained permission from the parent/legal guardian of the participant(s) named below to execute this agreement on their behalf. I agree that the Participants shall comply with all stated and customary terms, posted safety signs, rules and verbal instructions, as conditions for participating in any party, program or trade show with Bergfeld Recreation. If I observe any hazard during our participation, I will immediately bring it to the attention of the nearest employee or staff member.

2. I am aware that there are inherent risks associated with participation in programs, parties and/or use of the play area and equipment. These risks include, but are not limited to death, serious injury, and property loss. PARTICIPANTS KNOWINGLY AND FREELY ASSUME ALL SUCH RISK, BOTH KNOWN AND UNKNOWN, INCLUDING THOSE THAT MAY ARISE OUT OF THE (A) NEGLIGENCE OR CARELESSNESS ON THE PART OF THE PERSONS OR ENTITIES BEING RELEASED AND OTHER PARTICIPANTS, (B) DANGEROUS OR DEFECTIVE EQUIPMENT, OR (C) ANY OTHER CAUSE WHATSOEVER. PARTICIPANTS WAIVE ALL CLAIMS FOR DAMAGE TO PERSON OR PROPERTY ARISING FROM PARTICIPATION IN ACTIVITIES AT BERGFELD RECREATION OR ANY OTHER CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, PRODUCT LIABILITY OR ANY OTHER CAUSE. ALL MEDICAL COSTS INCURRED FOR ANY REASON ARE THE FULL AND FINAL RESPONSIBILITY OF PARTICIPANTS. PARTICIPANT REPRESENTS THAT ALL PARTICIPANTS HAVE MEDICAL INSURANCE COVERAGE.

3. Participants certify that we are physically fit and may participate in the activities available at Bergfeld Recreation and have not been advised otherwise by a qualified medical person. Bergfeld Recreation does not supply supervision and it is the responsibility of the parent/legal guardian to supervise. I grant Bergfeld Recreation and their affiliates permission to use any photographic likeness of all Participants taken at any location, in all forms and media for advertising, exposition displays, trade and other lawful purposes.

4. Participants, and our respective heirs, assigns, administrators, personal representatives, and next of kin, hereby release and forever hold harmless Bergfeld Recreation, their affiliates, officers, members, agents, employees, other participants, and sponsoring agencies (the “Released Parties”) from and against any and all claims, injuries, liabilities or damages arising out of or related to our participation in any and all Bergfeld Recreation programs, activities, parties, and the use of the play area and/or equipment.

5. Participants acknowledge that this release and waiver of liability form will be used and relied upon by the Released Parties, and that it will govern Participants’ actions and rights. B2117

READ, ACCEPTED AND AGREED TO: