Create an Account - Increase your productivity, customize your experience, and engage in information you care about.
CANTON TOWNSHIP VOLLEYBALL TEAM PROGRAM
WAIVER AND RELEASE OF LIABILITY FORM
In consideration of being permitted to participate in the Canton Township Volleyball Team Program, I hereby understand, acknowledge and agree to the following:
I acknowledge that I have voluntarily chosen to participate in the Canton Township Volleyball Team Program, and I fully understand and acknowledge the risks this activity presents, including serious injury up to and including death.
I hereby acknowledge that by being permitted to participate in the Volleyball Team Program, I am agreeing to assume any and all risk of any injury or death. I further understand and acknowledge that certain actions that are part of playing volleyball, including sliding, diving, digging, and other similar actions, are inherently dangerous and may result in injury to myself or others, and that Canton Township shall not be held liable for any injuries that may result from my participation in team volleyball, including those caused by the negligence of other participants. I further agree to assume responsibility for risk of theft, loss, or damage to my personal property, which may occur at any time during my participation in the Volleyball Team Program.
I understand and agree as a condition of my participation in this activity, I hereby release from liability, hold harmless and indemnify the Charter Township of Canton, its elected and appointed officials, employees, agents and volunteers, and anyone acting on behalf of its elected and appointed officials, employees, agents and volunteers, for any damage, injury, or death to myself or any other persons or property, in any way connected with my participation in the Volleyball Team Program.
I further acknowledge that I have read and understand the Canton Leisure Services Code of Conduct, and hereby agree to conduct myself in accordance with that policy. I understand that violation of the Code of Conduct has specific penalties described therein, up to and including being banned from Canton Township facilities and programs.
I have carefully read this agreement and fully understand all of its terms and conditions. I understand this release of liability has specific legal consequences which could prevent me from filing a lawsuit or making any other claim for damages in the event of my death or injury. With this knowledge, I am entering into this agreement fully and voluntarily. I agree the agreement is binding upon me, my spouse, my heirs, my children, including any guardian ad litem for the children, my assignees, and legal representatives.
I acknowledge that I have read this entire Waiver and Release of Liability Form, and have been provided with all necessary information, and I agree with the terms and conditions contained herein. Canton Township does not provide insurance coverage for Leisure Services program participants for injuries occurring while participating in play or practice. Any injury claim must be filed with my own insurance.
By selecting 'I AGREE'', You acknowledge you have read the attached Waiver and Release of Liability Form, and further that you fully understand its terms. You affirm you are voluntarily participating in this Canton Leisure Services program, and further acknowledge you know, understand, and appreciate the inherent risks associated with the sport of volleyball. You assume full responsibility for any and all injuries or damages that may occur to you as a result of the inherent risks associated with volleyball
By checking "yes", I certify that the information contained in this application is accurate.
Enter Your Full Name
* indicates a required field