Assumption of Risk: Waiver of Liability & Release Agreement

  • In order to complete the Staff Wellness Program Assumption of Risk Form, please read all of the information below and then complete the Assumption of Risk Form onlinne by clicking on link at the bottom of this page.

    By my signature below, I acknowledge that I am aware of, appreciate the character of, and voluntarily assume the risks involved in participating in all activities associated and available at the Brookings School District Fitness Room.  Under certain circumstances, adopting an exercise program has some inherent risks.  A medical examination is encouraged prior to starting an exercise program.

    By my signature below, on behalf of myself, my heirs, next of kin, successors in interest, assigns, personal representatives, and agents, I hereby:

    1.   Waive any claim or cause of action against and release from liability the Brookings School District, it officers, employees, and agents for any liability for injuries to my person or property resulting from my participation in the activities above;

    2.   Agree to indemnify and hold harmless the Brookings School District, its officers, employees, and agents for any claims, causes of action, or liability to any other person arising from my participation in the activity listed above;

    3.   Consent to receive any medical treatment deemed advisable in the event of injury, accident or illness during these activities; and

    I HAVE READ THIS ASSUMPTION OF RISK, WAIVER OF LIABILITY AND RELEASE AGREEMENT AND I FULLY UNDERSTAND ITS TERMS.  I FURTHERMORE UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS DOCUMENT AND I HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME. I INTEND AND I FULLY UNDERSTAND THAT THE EXECUTION OF THIS AGREEMENT CONSTITUTES A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

    The Brookings School District reserves the right to refuse use of the facility at its discretion in instances where misuse has been determined.

    I also understand that children under 18 are not allowed to use the wellness center.

     

    Click Here to Complete The Online Assumption of Risk Form