Waiver for Participation
In consideration of your accepting my/our registration fee, I hereby, for myself, my dependent(s)
and minor children, and our executors and administrators, waive and release any and all rights and
claims for damages I or my dependent(s) or minor children have or may have against Anna Maria
Island Community Center and it’s representatives, successors, employees, contractors, or
volunteers (collectively AMICC) for any and all injuries or death suffered by myself, my
dependent(s) or minor children at any activity sponsored or monitored by AMICC, held upon
its property, or through the use of its equipment. If I or my minor children or dependent(s)
should suffer and injury, illness, or death while participating in an activity, I authorize
AMICC instructors to use their sole discretion in having me or my dependent(s) and minor children
transported to a medical facility and I take all responsibility for this action, including costs.
I authorize the medical facility to render any emergency treatment deemed necessary. Also,
I understand that no refunds are given unless the activity is canceled or a doctor’s release
is presented. I understand that this release is a full and final release of all claims of any
nature whatsoever for myself, my minor children or dependents including but not limited claims
arising due to the sole joint, contributory, concurrent or gross negligence of AMICC. I
understand that this release includes my minor children and I represent that I am the authorized
guardian for my minor children. |