In consideration of being allowed to participate in one or more of the above listed programs, I do hereby waive, release and forever discharge Amityville Public Library and its officers, agents, employees, representatives and all others from any and all responsibilities of liability from injuries or damages resulting from my participation in these programs.
I acknowledge that this waiver form serves as the Library’s recommendation that a physician’s approval be obtained prior to participating in activities or exercise programs.
I have decided to participate in these programs and hereby assume all responsibility for my participation and activities.
I acknowledge that I will not be permitted to participate in any of the above-listed programs without a signed waiver form.
I have read and voluntarily sign this release and waiver of liability and indemnity agreement.
