Common use of Waiver and Release of Liability Clause in Contracts

Waiver and Release of Liability. In consideration and recognition of the inherent risks of participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club, I agree, on behalf of myself, my heirs, guardians, legal representatives, and assigns, to hereby release, waive, and forever discharge Hawthorn Farm Athletic Club, its agents, employees, or other representatives from any claims of personal injury, damage to property, death or any other loss resulting from participation with the indoor rock climbing facility. I agree to indemnify and hold harmless Hawthorn Farm Athletic Club or any entities mentioned herein from all liability, at the present date or any future date, regardless of the circumstances of the claim, whether caused by negligence of Hawthorn Farm Athletic Club or otherwise, whether participation is supervised or unsupervised, and whether any breach of contract or duty of care takes place. I understand that this document is legally binding for me as well as the entities mentioned herein, and I agree not to sue or otherwise make any claim against Hawthorn Farm Athletic Club or any entities mentioned herein and that Hawthorn Farm Athletic Club will not be held legally responsible for any loss I suffer from participation in any way connected with the indoor rock climbing facility. With clear knowledge of the risks involved in participation with the indoor rock climbing facility, as outlined herein, I voluntarily assume all risks associated with participation, known or unknown, and I agree to follow all safety polices and procedures established by Hawthorn Farm Athletic Club for participation with the indoor rock climbing facility. I further certify, acknowledge and agree that I am of the physical, emotional and mental capability necessary for participation with the indoor rock climbing facility, at the present date and any future date. I have carefully read and clearly understand the provisions of this document, and I voluntarily sign this document agreeing to its terms and exempting Hawthorn Farm Athletic Club from liability for losses resulting from participation with the indoor rock climbing facility, at the present date or any future date. Please complete the following with clear and legible hand writing YOUTH PARTICIPANT (Parent or Guardian’s Additional Indemnification for participants younger than 18 years of age): In consideration of the named participant, younger than 18 years of age, I acknowledge that I have carefully read and clearly understand the provisions of this document. By signing, I agree to indemnify and hold harmless Hawthorn Farm Athletic Club for any claim of loss by the named youth as a result of participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club, at the present date or any future date. Printed Name of Youth Participant: Last First Printed Name of Parent or Guardian (P/G) Last First Parent (P/G) Signature: Today’s Date: / /20 Adult Participant Printed Name of Adult Participant: Last First Signature: Today’s Date: / /20 Adult or Youth Participant Information Mailing Address: Phone # ( ) - Participant Date of Birth / / Name of Emergency Contact Emergency Phone # ( )_ - Please note: This document must be fully completed prior to participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club. If printing this document at home, both sides (front and back) need to be turned in together to the Climbing Wall staff. For Internal Use by Hawthorn Farm Athletic Club: Staff: Date: / /20

Waiver and Release of Liability. In Following consideration and recognition of the inherent risks of participation with in any activity and or use of recreational equipment or facilities under the indoor rock climbing facility at Hawthorn Farm Athletic Clubmanagement of Crestwood Hills Pool and Recreation Center, I agree, on behalf of myself, my heirs, my estate, guardians, legal representatives, agents and assigns, to hereby releasereleasing, waive, waving and forever discharge Hawthorn Farm Athletic Clubthe Crestwood Hills Pool and Recreation Center, its their agents, employees, volunteers or other representatives from any claims claim of personal injury, damage to property, property death or any other loss loss, claim or casualty resulting from participation with the indoor rock climbing facilityactivities or in the use of the facilities at the Crestwood Hills Pool and Recreation Center. I agree to indemnify and hold harmless Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center or any entities mentioned herein here in from all liability, liability at the present date or any future date, date regardless of the circumstances of the claimclaim whether, whether caused by negligence of Hawthorn Farm Athletic Club or otherwise, whether participation is supervised or unsupervised, unsupervised and whether any breach of contract or duty of care takes place. I understand that this document is legally binding for me as well as the entities mentioned herein, herein and I agree not to sue or otherwise make any claim against Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center or any entities mentioned herein and that Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center will not be held legally responsible for any loss I may suffer from participation in any way anyway connected with the indoor rock climbing facilitycenter. With clear knowledge of the risks involved in participation with the indoor rock climbing facilityparticipating in leisure, as fitness and recreation activities including but not limited to those outlined herein, herein I voluntarily assume all risks associated with participation, participation known or unknown, unknown and I agree agreed to follow all safety polices policies and procedures established by Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center for participation with within the indoor rock climbing facility. recreational facilities Sponsored guests of members agreement: As a membership holder, I further certify, acknowledge understand that guests who are accompanying members to participate in any activity and/or use of recreational equipment or facilities under the management of Crestwood Hills Recreation Center and agree that I am of the physical, emotional and mental capability necessary for participation with the indoor rock climbing facility, Pool at the present date and any future date. I have carefully read and clearly understand the provisions of this document, and I voluntarily sign this document agreeing to its terms and exempting Hawthorn Farm Athletic Club from liability for losses resulting from participation with the indoor rock climbing facility, at the present date or any future datedate are under my supervision as defined in the rules and policies set forth under membership guidelines for guests. Please complete Guests who are under the following with clear age of 18 were released by their parent or guardian to engage in participation in activities and legible hand writing YOUTH PARTICIPANT (Parent or Guardian’s Additional Indemnification for participants younger than 18 years of age): In consideration the use of the named participant, younger than 18 years recreational equipment or facilities under the management of age, I acknowledge that I have carefully read the Crestwood Hills Pool and clearly understand the provisions Recreation Center. A copy of this documentwaiver must be signed by the guest if an adult or the parent/legal guardian of a minor guest and brought to the pool at the time of the visit. By signing, signing this document I agree to indemnify and hold harmless Hawthorn Farm Athletic Club take full responsibility for any claim my guests who are under the supervision of loss by the named youth as a result of participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club, at the present date or any future date. Printed Name of Youth Participant: Last First Printed Name of Parent or Guardian (P/G) Last First Parent (P/G) Signature: Today’s Date: / /20 Adult Participant Printed Name of Adult Participant: Last First Signature: Today’s Date: / /20 Adult or Youth Participant Information Mailing Address: Phone # ( ) - Participant Date of Birth / / Name of Emergency Contact Emergency Phone # ( )_ - Please note: This document must be fully completed prior to participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club. If printing individuals under this document at home, both sides (front and back) need to be turned in together membership according to the Climbing Wall staffrules and policies set forth in the membership guidelines for guests. For Internal Use disagree (by Hawthorn Farm Athletic Club: Staff: Date: / /20checking this box you will lose your guest sponsorship privileges)

Waiver and Release of Liability. In consideration and recognition of the inherent risks of participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club, I agree, on behalf of myself, my heirs, guardians, legal representatives, and assigns, to hereby release, waive, and forever discharge Hawthorn Farm Athletic Club, its agents, employees, or other representatives from any claims of personal injury, damage to property, death or any other loss resulting from participation with the indoor rock climbing facility. I agree to indemnify and hold harmless Hawthorn Farm Athletic Club or any entities mentioned herein from all liability, at the present date or any future date, regardless of the circumstances of the claim, whether caused by negligence of Hawthorn Farm Athletic Club or otherwise, whether participation is supervised or unsupervised, and whether any breach of contract or duty of care takes placeunderstand that yoga includes physical movements. I understand I may receive information and instructions, including verbal and physical adjustments about yoga and health. As in the case of any physical activity, the risk of injury, even serious and disabling, is always present and that this document it is legally binding for me as well as my duty to consult a licensed physician regarding any conditions that might increase those risks prior to any yoga class I may take. If I develop or are diagnosed with a new condition that my affect my yoga practice, I will bring such to the entities mentioned hereininstructor’s attention. If at any time during the class I feel discomfort or strain, I know I am not obligated to continue and may gently come out of that posture. I knowingly, voluntarily, and I agree not to sue or otherwise make expressively waive any claim I may have against Hawthorn Farm Athletic Club or any entities mentioned herein The Serenity Salt Cave & Healing Center, LLC., its instructors and that Hawthorn Farm Athletic Club will not be held legally responsible staff, and its owners for any loss I suffer from participation in any way connected with the indoor rock climbing facility. With clear knowledge of the risks involved in participation with the indoor rock climbing facilityinjury, as outlined hereindeath, I voluntarily assume all risks associated with participation, known or unknown, and I agree to follow all safety polices and procedures established by Hawthorn Farm Athletic Club for participation with the indoor rock climbing facility. I further certify, acknowledge and agree damages that I am of the physical, emotional and mental capability necessary for participation with the indoor rock climbing facility, at the present date and any future date. I have carefully read and clearly understand the provisions of this document, and I voluntarily sign this document agreeing to its terms and exempting Hawthorn Farm Athletic Club from liability for losses resulting from participation with the indoor rock climbing facility, at the present date or any future date. Please complete the following with clear and legible hand writing YOUTH PARTICIPANT (Parent or Guardian’s Additional Indemnification for participants younger than 18 years of age): In consideration of the named participant, younger than 18 years of age, I acknowledge that I have carefully read and clearly understand the provisions of this document. By signing, I agree to indemnify and hold harmless Hawthorn Farm Athletic Club for any claim of loss by the named youth may sustain as a result of participation with being in The Serenity Salt Cave & Healing Center, LLC. Facility or as a result of participating in a class, workshop, or event, including loss that may be caused by the indoor rock climbing facility at Hawthorn Farm Athletic Clubnegligence of the released party. I release and discharge The Serenity Salt Cave & Healing Center, at the present date LLC., its directors, owners, staff, and its instructors from any and all liability, claim, demand, or any future date. Printed Name of Youth Participant: Last First Printed Name of Parent or Guardian (P/G) Last First Parent (P/G) Signature: Today’s Date: / /20 Adult Participant Printed Name of Adult Participant: Last First Signature: Today’s Date: / /20 Adult or Youth Participant Information Mailing Address: Phone # ( ) - Participant Date of Birth / / Name of Emergency Contact Emergency Phone # ( )_ - Please note: This document must be fully completed prior to participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club. If printing this document at home, both sides (front and back) need to be turned in together action that may have related to the Climbing Wall staffloss, theft, or damage of any of my personal property while at The Serenity Salt Cave & Healing Center, LLC. For Internal Use by Hawthorn Farm Athletic Club: Stafffacility This document, signed once, and the agreements made herein, and the foregoing waiver and release of liability shall apply to each and every use, now and hereafter, I make of the facilities of Serenity Salt Cave & Healing Center LLC. I have read through the entire agreement and consent to its content. I fully understand the above disclaimer and use the facilities at Serenity Salt Cave & Healing Center LLC at my own risk. Participant Signature: Date: / /20/ If under 18: As a legal guardian of , I consent to the above conditions. Parent/Guardian’s Signature: Date: / /

Waiver and Release of Liability. Disclaimer: Carteret County Parks & Recreation is not responsible for any injury (or loss of property) to any person suffered while participating in any Carteret County Parks & Recreation sponsored program for any reason whatsoever, including ordinary negligence on the part of Carteret County Parks & Recreation, its agents or employees. In consideration and recognition of the inherent risks of participation with the indoor rock climbing facility at Hawthorn Farm Athletic Clubmy participation, I agreehereby release and covenant not to xxx Xxxxxxxx County Parks & Recreation, Carteret County Board of Commissioners and any of their employees, instructors or agents from any and all present and future claims resulting from ordinary negligence on behalf the part of myselfCarteret County Parks & Recreation or others listed for property damage, personal injury or wrongful death, arising as a result of my engaging or receiving instruction in any Carteret County Parks & Recreation sponsored program incidental thereto, wherever, whenever or however the same may occur. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my heirsfamily, guardiansestate, legal representatives, and heirs or assigns, to hereby release, waive, and forever discharge Hawthorn Farm Athletic Club, its agents, employees, or other representatives from any claims of personal injury, damage to property, death or any other loss resulting from participation with the indoor rock climbing facility. I further agree to indemnify and hold harmless Hawthorn Farm Athletic Club Carteret County Parks & Recreation and others listed for any and all claims arising as a result of my engaging in or receiving instruction in any entities mentioned herein from all liabilityCarteret County Parks & Recreation sponsored program incidental thereto, at wherever, whenever or however the present date or any future date, regardless of the circumstances of the claim, whether caused by negligence of Hawthorn Farm Athletic Club or otherwise, whether participation is supervised or unsupervised, and whether any breach of contract or duty of care takes placesame may occur. I understand that this document waiver is legally binding for me intended to be as well broad and inclusive as permitted by the entities mentioned hereinlaws of North Carolina and agree that if any portion is held invalid, and I agree not to sue or otherwise make any claim against Hawthorn Farm Athletic Club or any entities mentioned herein and that Hawthorn Farm Athletic Club will not be held legally responsible for any loss I suffer from participation in any way connected with the indoor rock climbing facility. With clear knowledge remainder of the risks involved waiver will continue in participation with the indoor rock climbing facility, as outlined herein, I voluntarily assume all risks associated with participation, known or unknown, full legal force and I agree to follow all safety polices and procedures established by Hawthorn Farm Athletic Club for participation with the indoor rock climbing facilityeffect. I further certify, acknowledge and agree that the venue for any legal proceeding shall be in North Carolina. I affirm that I am of the physical, emotional legal age and mental capability necessary for participation with the indoor rock climbing facility, at the present date and any future dateam freely signing this agreement. I have carefully read this form and clearly fully understand the provisions that by signing this form, I am giving up legal rights and/or remedies which may be available to me for ordinary negligence of this document, and I voluntarily sign this document agreeing to its terms and exempting Hawthorn Farm Athletic Club from liability for losses resulting from participation with the indoor rock climbing facility, at the present date Carteret County Parks & Recreation or any future date. Please complete the following with clear and legible hand writing YOUTH PARTICIPANT (Parent or Guardian’s Additional Indemnification for participants younger than 18 years of age): In consideration of the named participant, younger than 18 years of ageparties listed above. By participating in a program sponsored by Carteret County Parks & Recreation, I acknowledge that I have carefully read grant Carteret County Parks & Recreation the right to use my name, quotes and clearly understand any pictures taken of me during the provisions of this document. By signing, I agree to indemnify and hold harmless Hawthorn Farm Athletic Club for any claim of loss by the named youth as a result of participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club, at the present date or any future date. Printed Name of Youth Participant: Last First Printed Name of Parent or Guardian (P/G) Last First Parent (P/G) Signature: Today’s Date: / /20 Adult Participant Printed Name of Adult Participant: Last First Signature: Today’s Date: / /20 Adult or Youth Participant Information Mailing Address: Phone # ( ) - Participant Date of Birth / / Name of Emergency Contact Emergency Phone # ( )_ - Please note: This document must be fully completed prior to participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club. If printing this document at home, both sides (front and back) need to be turned in together to the Climbing Wall staff. For Internal Use by Hawthorn Farm Athletic Club: Staff: Date: / /20sponsored program.

Waiver and Release of Liability. In consideration and recognition of the inherent risks of participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club, I agree, on behalf of myself, my heirs, guardians, legal representatives, and assigns, to hereby release, waive, and forever discharge Hawthorn Farm Athletic Club, its agents, employees, or other representatives from any claims of personal injury, damage to property, death or any other loss resulting from participation with the indoor rock climbing facility. I agree to indemnify and hold harmless Hawthorn Farm Athletic Club Club, or any entities mentioned herein from all liability, at the present date or any future date, regardless of the circumstances of the claim, whether caused by negligence of Hawthorn Farm Athletic Club or otherwise, whether participation is supervised or unsupervised, and whether any breach of contract or duty of care takes place. I understand that this document is legally binding for me as well as the entities mentioned herein, and I agree not to sue or otherwise make any claim against Hawthorn Farm Athletic Club Club, or any entities mentioned herein herein, and that Hawthorn Farm Athletic Club will not be held legally responsible for any loss I suffer from participation in any way connected with the indoor rock rock-climbing facility. With clear knowledge of the risks involved in participation with the indoor rock rock-climbing facility, as outlined herein, I voluntarily assume all risks associated with participation, known or unknown, and I agree to follow all safety polices policies and procedures established by Hawthorn Farm Athletic Club for participation with the indoor rock rock-climbing facility. I further certify, acknowledge and agree that I am of the physical, emotional emotional, and mental capability necessary for participation with the indoor rock rock-climbing facility, at the present date and any future date. I have carefully read and clearly understand the provisions of this document, and I voluntarily sign this document agreeing to its terms and exempting Hawthorn Farm Athletic Club from liability for losses resulting from participation with the indoor rock rock-climbing facility, at the present date or any future date. Please complete the following with clear and legible hand writing handwriting YOUTH PARTICIPANT (Parent or Guardian’s Additional Indemnification for participants younger than 18 years of age): In consideration of the named participant, younger than 18 years of age, I acknowledge that I have carefully read and clearly understand the provisions of this document. By signing, I agree to indemnify and hold harmless Hawthorn Farm Athletic Club for any claim of loss by the named youth as a result of participation with the indoor rock rock-climbing facility at Hawthorn Farm Athletic Club, at the present date or any future date. Printed Name of Youth Participant: Last First Printed Name of Parent or Guardian (P/G) Last First Parent (P/G) Signature: Today’s Date: / /20 Adult Participant Printed Name of Adult Participant: Last First Signature: Today’s Date: / /20 Adult or Youth Participant Information Mailing Address: Phone # ( ) - Participant Date of Birth / / Name of Emergency Contact Emergency Phone # ( )_ _) - Please note: This document must be fully completed prior to participation with the indoor rock rock-climbing facility at Hawthorn Farm Athletic Club. If printing this document at home, both sides (front and back) need to be turned in together to the Climbing Wall staff. For Internal Use by Hawthorn Farm Athletic Club: Staff: Date: / /20:

Waiver and Release of Liability. In Following consideration and recognition of the inherent risks of participation with in any activity and or use of recreational equipment or facilities under the indoor rock climbing facility at Hawthorn Farm Athletic Clubmanagement of Crestwood Hills Pool and Recreation Center, I agree, on behalf of myself, my heirs, my estate, guardians, legal representatives, agents and assigns, to hereby releasereleasing, waive, waving and forever discharge Hawthorn Farm Athletic Clubthe Crestwood Hills Pool and Recreation Center, its their agents, employees, volunteers or other representatives from any claims claim of personal injury, damage to property, property death or any other loss loss, claim or casualty resulting from participation with the indoor rock climbing facilityactivities or in the use of the facilities at the Crestwood Hills Pool and Recreation Center. I agree to indemnify and hold harmless Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center or any entities mentioned herein here in from all liability, liability at the present date or any future date, date regardless of the circumstances of the claimclaim whether, whether caused by negligence of Hawthorn Farm Athletic Club or otherwise, whether participation is supervised or unsupervised, unsupervised and whether any breach of contract or duty of care takes place. I understand that this document is legally binding for me as well as the entities mentioned herein, herein and I agree not to sue or otherwise make any claim against Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center or any entities mentioned herein and that Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center will not be held legally responsible for any loss I may suffer from participation in any way anyway connected with the indoor rock climbing facilitycenter. With clear knowledge of the risks involved in participation with the indoor rock climbing facilityparticipating in leisure, as fitness and recreation activities including but not limited to those outlined herein, herein I voluntarily assume all risks associated with participation, participation known or unknown, unknown and I agree agreed to follow all safety polices policies and procedures established by Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center for participation with within the indoor rock climbing facility. I further certify, acknowledge and agree that I am of the physical, emotional and mental capability necessary for participation with the indoor rock climbing facility, at the present date and any future date. recreational facilities I have carefully read and clearly understand the provisions of this document, document and I voluntarily sign this document agreeing to its terms releasing the Crestwood Hills Pool and exempting Hawthorn Farm Athletic Club Recreation Center from liability for losses resulting from participation with in any activity and/or use of the indoor rock climbing facility, recreational equipment or facilities under the management of the Crestwood Hills Pool and Recreation Center at the present date or and any future date. Please complete the following with clear and legible hand writing YOUTH PARTICIPANT (Parent or Guardian’s Additional Indemnification for participants younger than 18 years of age): In consideration of the named participant, younger than 18 years of age, I acknowledge that I have carefully read and clearly understand the provisions of this document. By signing, I agree to indemnify and hold harmless Hawthorn Farm Athletic Club for any claim of loss by the named youth as a result of participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club, at the present date or any future date. Printed Name of Youth Participant: Last First Printed Name of All Adult Guests/Parent or Guardian (P/G) Last First Parent (P/G) of Minor Guests Signature: Today’s Date: / /20 Adult Participant Printed Name of Adult Participant: Last First Signature: Today’s Date: / /20 Adult or Youth Participant Information Mailing Address: Phone # ( ) - Participant Date of Birth / / Name of Emergency Contact Emergency Phone # ( )_ - Please note: This document must be fully completed prior to participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club. If printing this document at home, both sides (front and back) need to be turned in together to the Climbing Wall staff. For Internal Use by Hawthorn Farm Athletic Club: Staff: Date: / /20Signature: Date: address: day phone number: evening phone number: Names of Guests: Supervising Adult/Member Associated with Guests accepting responsibility for the above guest: Name: Signature: Date: Phone:

Waiver and Release of Liability. In consideration and recognition of the inherent risks of participation with the indoor rock climbing facility at Hawthorn Farm Sunset Athletic Club, I agree, on behalf of myself, my heirs, guardians, legal representatives, and assigns, to hereby release, waive, and forever discharge Hawthorn Farm Sunset Athletic Club, its agents, employees, or other representatives from any claims of personal injury, damage to property, death or any other loss resulting from participation with the indoor rock climbing facility. I agree to indemnify and hold harmless Hawthorn Farm Sunset Athletic Club or any entities mentioned herein from all liability, at the present date or any future date, regardless of the circumstances of the claim, whether caused by negligence of Hawthorn Farm Sunset Athletic Club or otherwise, whether participation is supervised or unsupervised, and whether any breach of contract or duty of care takes place. I understand that this document is legally binding for me as well as the entities mentioned herein, and I agree not to sue or otherwise make any claim against Hawthorn Farm Sunset Athletic Club or any entities mentioned herein and that Hawthorn Farm Sunset Athletic Club will not be held legally responsible for any loss I suffer from participation in any way connected with the indoor rock climbing facility. With clear knowledge of the risks involved in participation with the indoor rock climbing facility, as outlined herein, I voluntarily assume all risks associated with participation, known or unknown, and I agree to follow all safety polices and procedures established by Hawthorn Farm Sunset Athletic Club for participation with the indoor rock climbing facility. I further certify, acknowledge and agree that I am of the physical, emotional and mental capability necessary for participation with the indoor rock climbing facility, at the present date and any future date. I have carefully read and clearly understand the provisions of this document, and I voluntarily sign this document agreeing to its terms and exempting Hawthorn Farm Athletic Club from liability for losses resulting from participation with the indoor rock climbing facility, at the present date or any future date. Please complete the following with clear and legible hand writing YOUTH PARTICIPANT PARTICIPANTS (Parent or Guardian’s Additional Indemnification for participants younger than 18 years of age): In consideration of the named participant, younger than 18 years of age, I acknowledge that I have carefully read and clearly understand the provisions of this document. By signing, I agree to indemnify and hold harmless Hawthorn Farm Sunset Athletic Club for any claim of loss by the named youth as a result of participation with the indoor rock climbing facility at Hawthorn Farm Sunset Athletic Club, at the present date or any future date. Printed Name I have carefully read and clearly understand the provisions of Youth Participant: Last First Printed Name of Parent this document, and I voluntarily sign this document agreeing to its terms and exempting Sunset Athletic Club from liability for losses resulting from participation with the indoor rock climbing facility, at the present date or Guardian (P/G) Last First Parent (P/G) Signatureany future date. Please fill in all boxes and write clearly Participant full name: Today’s Date: / /20 Adult Street address: City, State, zip: Participant Printed Name of Adult ParticipantBirthdate: Last First SignatureContact phone #: Today’s Date: / /20 Adult or Youth Participant Information Mailing Address: Phone # ( ) - Participant Date of Birth / / Name of Emergency Contact name: Emergency Phone # ( )_ - Contact phone #: Printed name of Parent or guardian: Participant signature: (parent or guardian if participant is under 18) Please note: This document must be fully completed prior to participation with the indoor rock climbing facility at Hawthorn Farm Sunset Athletic Club. If printing this document at home, both sides (front and back) need to be turned in together to the Climbing Wall staff. For Internal Use by Hawthorn Farm Sunset Athletic Club: StaffDate received: DateReceived by: / /20Date entered (CC): Entered by (CC): Date entered (CW): entered by (CW): Date filed: filed by:

Waiver and Release of Liability. In Following consideration and recognition of the inherent risks of participation with in any activity and or use of recreational equipment or facilities under the indoor rock climbing facility at Hawthorn Farm Athletic Clubmanagement of Crestwood Hills Pool and Recreation Center, I agree, on behalf of myself, my heirs, my estate, guardians, legal representatives, agents and assigns, to hereby releasereleasing, waive, waving and forever discharge Hawthorn Farm Athletic Clubthe Crestwood Hills Pool and Recreation Center, its their agents, employees, volunteers or other representatives from any claims claim of personal injury, damage to property, property death or any other loss loss, claim or casualty resulting from participation with the indoor rock climbing facilityactivities or in the use of the facilities at the Crestwood Hills Pool and Recreation Center. I agree to indemnify and hold harmless Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center or any entities mentioned herein here in from all liability, liability at the present date or any future date, date regardless of the circumstances of the claimclaim whether, whether caused by negligence of Hawthorn Farm Athletic Club or otherwise, whether participation is supervised or unsupervised, unsupervised and whether any breach of contract or duty of care takes place. I understand that this document is legally binding for me as well as the entities mentioned herein, herein and I agree not to sue or otherwise make any claim against Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center or any entities mentioned herein and that Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center will not be held legally responsible for any loss I may suffer from participation in any way anyway connected with the indoor rock climbing facilitycenter. With clear knowledge of the risks involved in participation with the indoor rock climbing facilityparticipating in leisure, as fitness and recreation activities including but not limited to those outlined herein, herein I voluntarily assume all risks associated with participation, participation known or unknown, unknown and I agree agreed to follow all safety polices policies and procedures established by Hawthorn Farm Athletic Club the Crestwood Hills Pool and Recreation Center for participation with within the indoor rock climbing facility. I further certify, acknowledge and agree that I am of the physical, emotional and mental capability necessary for participation with the indoor rock climbing facility, at the present date and any future date. recreational facilities I have carefully read and clearly understand the provisions of this document, document and I voluntarily sign this document agreeing to its terms releasing the Crestwood Hills Pool and exempting Hawthorn Farm Athletic Club Recreation Center from liability for losses resulting from participation with in any activity and/or use of the indoor rock climbing facility, recreational equipment or facilities under the management of the Crestwood Hills Pool and Recreation Center at the present date or and any future date. Please complete the following with clear and legible hand writing YOUTH PARTICIPANT (All Adult Guests/Parent or Guardian’s Additional Indemnification Guardian of Minor Guests Signature: Date: Signature: Date: address: day phone number: evening phone number: Names of Guests: Supervising Adult/Member Associated with Guests accepting responsibility for participants younger than 18 years of age): In consideration of the named participant, younger than 18 years of age, I acknowledge above guest: Name: Signature: Date: Phone: 2021 Coronavirus/COVID-19 Release The 2019 Novel Coronavirus (COVID-19) is an extremely contagious illness that I have carefully read and clearly understand the provisions of this document. By signing, I agree to indemnify and hold harmless Hawthorn Farm Athletic Club for any claim of loss has been declared a worldwide pandemic by the named youth as World Health Organization. As a result, federal, state and local governments and local health agencies may have recommended social distancing and may have placed limitations on the congregation of groups of people. As a result of participation with these recommendations, the indoor rock climbing Board Members of the Crestwood Hills Pool and Recreation Center have made addendum to the previous rules of the facility at Hawthorn Farm Athletic Clubin an effort to facilitate the safety guidelines as recommended by the local health department. Crestwood Hills Pool and Recreation Center encourage the following: The practice of social distancing as much as possible while utilizing the pools and facilities, at allowing 6 feet of space between individuals/families while on the present date pool deck. Parents are responsible for supervising and enforcing the social distancing behavior of their minor children. Repeated infractions of the guidelines, may result in management requesting the individual who repeatedly violated the guidelines to exit the premises for the remainder of the day. If the violating individual is an unattended minor, the parent will be notified and a request will be made for the child to be retrieved from the premises. The management has the right to request that the unattended minor not return without a parent or any future dateguardian in attendance, thereafter. Printed Name of Youth Participant: Last First Printed Name of Parent or Guardian (P/G) Last First Parent (P/G) Signature: Today’s Date: / /20 Adult Participant Printed Name of Adult Participant: Last First Signature: Today’s Date: / /20 Adult or Youth Participant Information Mailing Address: Phone # ( ) - Participant Date of Birth / / Name of Emergency Contact Emergency Phone # ( )_ - Please note: This document must be fully completed Guests should evaluate their health status prior to participation with the indoor rock climbing facility at Hawthorn Farm Athletic Club. If printing this document at home, both sides (front and back) need to be turned in together coming to the Climbing Wall staffpool. For Internal Use by Hawthorn Farm Athletic Club: Staff: Date: / /20Each of the following questions should be evaluated for all individuals who will be attending: