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  7.   Name of Emergency Contact (First)Name of Emergency Contact (Last)Contact Phone w/ area codeRelationship
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WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTIONS OF RISK
PLEASE READ THIS FORM CAREFULLY AND BE AWARE THAT IN SIGNING UP AND PARTICIPATING IN THE PROGRAM/ACTIVITY, YOU WILL BE EXPRESSLY ASSUMING THE RISK AND LEGAL LIABILITY AND WAIVING AND RELEASING ALL CLAIMS FOR INJURIES, DAMAGES OR LOSS WHICH YOU MIGHT SUSTAIN AS A RESULT OF PARTICIPATING IN ANY AND ALL ACTIVITIES CONNECTED WITH AND ASSOCIATED WITH THIS PROGRAM/ACTIVITY OR USING OR VISITING OUR ATHLETIC FACILITIES. I RECOGNIZE AND ACKNOWLEDGE THAT THERE ARE CERTAIN RISKS OF PHYSICAL INJURY ASSOCIATED WITH PARTICIPATING IN THE PROGRAM/ACTIVITY, AND I VOLUNTARILY AGREE TO ASSUME THE FULL RISK OF ANY INJURIES, DAMAGES OR LOSS, REGARDLESS OF SEVERITY, THAT I MAY SUSTAIN AS A RESULT OF PARTICIPATING. I FULLY UNDERSTAND AND AGREE THAT PARTICIPATION IN ATHLETIC ACTIVITES, THE USE OF EQUIPMENT, AND THE USE OF ANY AND ALL MACHINERY, EQUIPMENT, AND APPARATUS DESIGNED FOR ATHLETIC ACTIVITIES SHALL BE AT MY SOLE RISK. NOTWITHSTANDING ANY CONSULTATION OR INSTRUCTION ON ATHLETIC ACTIVITIES WHICH MAY BE PROVIDED BY THE CITY OF DEARBORN, IT IS HEREBY UNDERSTOOD THAT THE SELECTION OF ATHLETIC ACTIVITIES, AND TYPES OF EQUIPMENT USED SHALL BE MY ENTIRE RESPONSIBILITY, AND THAT THE CITY OF DEARBORN INCLUDING ITS OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS HEREINAFTER COLLECTIVELY CALLED CITY OF DEARBORN SHALL NOT BE LIABLE FOR ANY CLAIMS, DEMANDS, INJURIES, DAMAGES, OR LOSS TO PERSON OR PROPERTY ARISING OUT OF OR IN CONNECTION WITH THE USE OF THE SERVICES AND FACILITIES CONTEMPLATED BY THIS AGREEMENT. I FURTHER AGREE TO WAIVE AND RELINQUISH ALL CLAIMS I MAY HAVE OR WHICH MAY ACCRUE TO ME AS A RESULT OF PARTICIPATIONS IN THIS PROGRAM ACTIVITY. I DO HEREBY FULLY RELEASE AND FOREVER DISCHARGE THE CITY OF DEARBORN FROM ANY AND ALL CLAIMS FOR INJURIES, DAMAGES OR LOSS THAT I MAY HAVE OR WHICH MAY ACCRUE TO ME AND RISING OUT OF, CONNECTED WITH, OR IN ANY WAY ASSOCIATED WITH THIS PROGRAM ACTIVITY. I HAVE READ AND FULLY UNDERSTAND THE ABOVE IMPORTANT INFORMATION, WARNING OF RISK, ASSUMPTION OF RISK AND WAIVER AND RELEASE OF ALL CLAIMS, IF REGISTERING ON-LINE OR VIA FAX, YOUR ON-LINE OR FACSIMILE SIGNATURE SHALL SUBSTITUTE FOR AND HAVE THE SAME LEGAL EFFECT AS AN ORIGINAL FORM SIGNATURE.
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