QNC Facility Waiver | Queens Nassau Comets

Queens Nassau Comets Facility Participation
WAIVER AND CONSENT

Participant Full Name

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Today's Date

Team name

I declare that the info I’ve provided is accurate & complete

By signing this form "I accept all terms & conditions. I assume all risks and hazards incidental to the conduct of the activities at the Queens Nassau Comets, Inc., facility. I do further hereby release, absolve, indemnify and hold harmless the "Queens/Nassau Comets Inc the organizers, sponsors and the supervisors, any or all of them. In case of injury to myself, my child, or individuals with me, I hereby waive all claims against the organizers, sponsors or any of the superiors appointed by them.

In consideration of being allowed to participate in any way with the Queens/ Nassau Comets Inc., program, facility, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury and/or illness from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist.

2. The risk to have contact with individuals, who have been exposed to and/or have been diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies does exist, and it is impossible to eliminate the risk that I could be exposed to and/or become infected through contact with or close proximity with an individual with a communicable disease.

3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and assume all full responsibility for my participation.

4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE "QUEENS NASSAU COMETS INC, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of the premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

6. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, BEFORE ACKNOWLEDGING SIGNING BELOW, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT ON MY OWN BEHALF, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT

Parent/Guardian Signature

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Queens Nassau Comets Facility Participation
WAIVER AND CONSENT

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Queens Nassau Comets Facility Participation WAIVER AND CONSENT

Queens Nassau Comets Facility Participation
WAIVER AND CONSENT