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WAIVER
AND RELEASE OF ALL CLAIMS: I
have read this form carefully, and am aware that by registering
and participating in, or registering my minor child/ward
for and allowing his or her participating in the Programs
(hereinafter referred to as the "program"). I
am WAIVING and RELEASING all claims for myself and my minor
child/ward arising out of such registration and participation.
In consideration of the Village of Hinsdale (the "Village")
accepting me and/or my minor child/ward as a participant
in the Program, I hereby agree as follows:
ACKNOWLEDGEMENT AND ASSUMPTION OF RISK OR INJURY AND
LOSS: I have fully informed myself of all of the details
of the Program and have received satisfactory answers to
all of my questions I have concerning the Program and the
risks inherent in the Program and believe and represent
that I and/or my minor child/ward have the necessary abilities,
skills, and knowledge to participate in the Program. I recognize
and acknowledge that the Program involves risks of bodily
injury, death and property loss. I hereby agree to, and
do, assume the full risk of any injuries, including death,
and of any property loss and of all expenses, costs, damages
and losses that I, or my minor child/ward on whose behalf
I am signing, may sustain as a result of participating in
any all all activities connected with or associated with
the Program.
WAIVER AND RELEASE OF CLAIMS: I hereby agree to,
and do, waive release and relinquish all claims, demands,
rights of action, damages, liabilities and controversies
of every kind, known and unknown, present and future, that
I, or my minor child/ward on whose behalf I am signing,
may have against the Village and its officers, agents, servants,
employees, insurers, related or affiliated individuals or
entities, successors and assign arising out of, connected
with, or in any way related to the Program of my minor child/ward's
participating herein. INDEMNITY AND DEFENSE: I hereby
further agree to indemnify and hold harmless and defend
the Village and its officers, agents, servants, employees,
insurers, related or affiliated individuals or entities,
successors and assigns from any and all claims, lawsuits,
demands, damages, liabilities, losses and expenses, including
attorney's fees and administrative expenses, of every kind,
known and unknown, present and future, arising out of, connected
with, or in any way related to my or my minor child/ward's
participation in the Program.
EMERGENCY CARE: In the event of an emergency, I authorize
the Village to secure, from any licensed hospital, physician
and/or other medical personnel, any treatment deemed reasonable
and necessary for myself and/or my minor child/ward's immediate
care and agree that I will be responsible for payment for
any all such treatment rendered.
I have read and fully understand the above WAIVER &
RELEASE OF ALL CLAIMS and execute it of my own free will
and without any reservation whatsoever.
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