Gymnasium Waiver & Liability Release -

Name *

First

Last

Email *

Please list any children under the age of 18 covered by this waiver:

Emergency Contact Phone Number *

Please enter an emergency contact phone number.

Gymnasium Waiver and Liability Release *

I accept the terms ofthe Gymnasium Waiver and Liability Release below

In consideration of my use of the exercise equipment and facilities provided by the Town of Brighton, I expressly agree and contract, on behalf of myself, my heirs, executors, administrators, successors and assigns, that the Town of Brighton and its insurers, employees, officers, directors, and associates, shall not be liable for any damages arising from personal injuries (including death) sustained by me, or my guest in, on, or about the premises, or as a result of the use of the equipment or facilities, regardless of whether such injuries result, in whole or in part, from the negligence of the Town.

By the execution of this agreement, I accept and assume full responsibility for any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to me or my guest, and I hereby fully and forever release and discharge the Town of Brighton, its insurers, employees, officers, directors, and associates, from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising out the use of said equipment and facilities.

I expressly agree to indemnify and hold the Town harmless against any and all claims, demands, damages, rights of action, or causes of action, of any person or entity, that may arise from injuries or damages sustained by me or my guest.

I agree to be solely responsible for safety and wellbeing of my guest and myself. I understand that the Town does not provide supervision, instruction, or assistance for the use of the facilities and equipment.

I agree to comply with all rules imposed by the Town of Brighton regarding the use of the facilities and equipment.

I agree to conduct myself in a controlled and reasonable manner at all times, and to refrain from using any equipment in a manner inconsistent with its intended design and purpose.

I understand and acknowledge that the use of exercise equipment involves risk of serious injury, including permanent disability and death.

I understand and agree that the Town is not responsible for property that is lost, stolen, or damaged while in, on, or about the premises.

I HAVE READ THE FOLLOWING WAIVER AND RELEASE OF LIABILITY AND VOLUNTARILY EXECUTED THIS DOCUMENT WITH FULL KNOWLEDGE OF ITS CONTENT *For parents and individuals 18+

I am affixing my electronic signature by typing my full name below: *

Please Enter Full Name and then hit Submit