YWCA Waiver Form

Welcome to YWCA Greenwich!  Below are our standard agreements and waiver forms.  Please read the information below.

This Agreement must be signed by anyone who wants to use or have access to the facilities of YWCA Greenwich, Connecticut, Inc. (“YWCA Greenwich”) or participate in its programs or activities (“Participant”).  If the Participant is a minor, the Agreement must be signed by a parent or legal guardian of the minor (“Parent/Guardian”).  Read this Agreement carefully; by signing it you are giving up legal rights to recover for injuries or damage you may incur in using YWCA Greenwich facilities or participating in its programs or activities.

The word(s) “I”/“me” as used in this Agreement mean the Participant signing the Agreement and, if the Participant is a minor, both the minor and the Parent/Guardian who signs the Agreement for the minor.

Agreement to Follow Policies and Procedures
I agree to follow all Policies and Procedures of YWCA Greenwich.  Policies and Procedures are available at www.ywcagreenwich.org and in program-specific materials.  I understand that that my failure to comply with the Policies and Procedures of YWCA Greenwich may result in suspension or termination of my membership and/or my ability to use the YWCA Greenwich facilities and participate in its programs and activities.

Release, Indemnification, and Hold Harmless Agreement.
In consideration of being allowed to participate in YWCA Greenwich programs or activities and/or given access to and use of its facilities, I hereby release, indemnify and forever discharge YWCA Greenwich, its directors, officers, coaches, employees, agents and assigns (“Releasees”) from any and all loss and liability for any personal injury, death, accident, property damage, claims, costs, expenses or other loss incurred by me, related to my use of or access to YWCA Greenwich facilities or my participation in its programs or activities or related travel (collectively “Losses”), including Losses arising from the NEGLIGENCE OF RELEASEES.  I further agree to indemnify and hold harmless the Releasees from any actions brought against any of them in connection with my use of or access to YWCA Greenwich facilities or participation in its programs or activities or related travel.

Medical Release Waiver
I represent that I am in good health with no ailment, disability or impairment preventing me from engaging in active or passive activity.  I am also representing that I have no communicable disease or health condition that would make my participation in YWCA Greenwich activities injurious to any member.  I understand that YWCA Greenwich facilities, equipment, services and programs are designed to provide a safe level of effective and beneficial exercise and there is an inherent risk that use of such facilities, equipment, services and programs may result in an injury to me. Therefore, I assume full responsibility for any injury or damages to me and my guests in, on or about YWCA Greenwich premises.

I certify that I am the parent or legal guardian for my child(ren). I hereby give my permission for any supervisor, coach or other team administrator associated with YWCA Greenwich to seek and give appropriate medical attention for me or my child(ren) in the event of accident, injury, illness.  I will be responsible for any and all costs associated with any necessary medical attention and/or treatment.  I hereby waive, release and forever discharge YWCA Greenwich, and associated supervisor, coach or other administrator from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in YWCA Greenwich activities, whether or not damages or loss is due to negligence.  I hereby acknowledge that I and/or my child(ren) is (are) physically fit and capable of participation in all activities.

Photo/Video Waiver
Unless otherwise indicated, YWCA Greenwich has my permission to photograph and/or video my child(ren), family members and myself for marketing and promotional materials of YWCA Greenwich.  I understand that the images may be used in print publications, online publications, presentations, websites and social media.  I also understand that no royalty fee or other compensation shall become payable to me by reason of such use.