Adult Participant Release & Waiver of Liability and Indemnity Agreement - COVID-19 Waiver Update

Sep 15, 2026

Uploaded by Jacob

Adult participant release and waiver agreement for YMCA of Lansing covering inherent risks associated with facility use and participation in Y programs and activities, including moderate or severe personal injury, property damage, disability, death, and sickness or disease such as COVID-19. The signer acknowledges full responsibility, releases YMCA personnel and representatives from liability for covered harms including those arising from negligence, and agrees to indemnify and hold harmless the Releasees for related claims, losses, costs, and demands.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

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Acknowledgment of Risk

Waiver, Release, Indemnification & Covenant Not to Sue

Adult Participant Release & Waiver of Liability and Indemnity Agreement NOTICE: Please read carefully. This document affects your legal rights and is legally binding. By signing this agreement, you are releasing the YMCA of Lansing from all liability and forever giving up any claims therefor. Acknowledgment of Risk I acknowledge and agree that any use of the YMCA of Lansing facilities, services, equipment and premises (“Facilities”) and any participation in Y programs and activities (“Programs”) comes with inherent risks including, but in no way limited to: (1) moderate and severe personal injury, (2) property damage, (3) disability,(4) death, and (5) sickness or disease including, without limitation, COVID-19. I voluntarily accept and assume full responsibility for these risks as well as all other risks of the use of Facilities and participation in Programs. I agree that I have full knowledge of the nature and extent of all such risks and am not relying on all such risks being described in this document. Waiver, Release, Indemnification & Covenant Not to Sue In consideration of the use of Facilities and participation in Programs I, the undersigned, agree that the Y, its officers, directors, agents, employees, volunteers, insurers and representatives (“Releasees”) will not be liable for any personal injury, property damage, disability, death, sickness or disease incurred by myself, my family members, dependents, or guests, including minors, however occurring including, but not limited to the negligence of Releasees. I understand that I will be solely responsible for any loss or damage, including personal injury, property damage, disability, death, sickness, or disease sustained from the use of Facilities and participation in Programs. I further agree, on behalf of myself and any and all legal successors and proxies, to release and HEREBY DO RELEASE, WAIVE AND COVENANT NOT TO SUE Releasees from any causes of action, claims, suits, liabilities or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I and any and all legal successors and proxies may have, now or in the future, against Releasees on account of personal injury, property damage, disability, death, sickness, diseases or accident of any kind, arising out of or in any way related to the use of Facilities or participation in Programs, whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to the negligence of Releasees. In further consideration of the use of Facilities and participation in Programs, I agree to INDEMNIFY AND HOLD HARMLESS Releasees from any and all causes of action, claims, demands, losses, suits, liabilities or costs of any nature whatsoever, including claims of negligence, arising out of or in any way related to the use of Facilities and participation in Programs by myself, my family members, dependents or guests, including any minors.

FAQs

What risks does the participant acknowledge in the agreement?

The agreement acknowledges inherent risks in using YMCA facilities and participating in YMCA programs, including personal injury, property damage, disability, death, and sickness or disease such as COVID-19.

Who is released from liability under the waiver?

The participant releases the YMCA and its officers, directors, agents, employees, volunteers, insurers, and representatives (the “Releasees”) from liability for covered harms.

Does the signer agree not to sue and to indemnify the Releasees?

Yes. The signer covenants not to sue the Releasees and agrees to indemnify and hold them harmless for claims, losses, suits, liabilities, and costs arising from participation or facility use, including related negligence claims.

Sep 15, 2026

Uploaded by Jacob