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Youth Liability Waiver

indicates a required answer


In consideration of being allowed to participate in any way in Cornerstone Family Schools related events and activities, the undersigned:

  1. Agrees that the parent(s) and/or legal guardian(s) of the participant should inspect the facilities and equipment to be used, and if the parent or guardian believes anything is unsafe, he or she should immediately advise supervisor (advisor, manager, etc.) of such condition(s) and refuse to participate.
  2. Acknowledges and fully understands that each member/participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence but the action, inaction, and negligence of others, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
  3. Assumes all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
  4. Release, waive, discharge and covenant not to sue Cornerstone Family Schools, its affiliated clubs, their respective administrators, directors, agents, and other employees of the organization, other members/participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors or premises used to conduct the event, all of which are hereinafter referred to as “releases,” from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death and damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise. 

I have read the above waiver and release, understand that I have given up substantial rights by entering my name and submitting the form, and do so voluntarily.

1. *


Name of Member/Participant.

2. *

Name of Parent/Guardian

3. *

Parent/Guardian Relationship

4. *

Address of Member/Participant

5. *

Telephone Number of Parent or Guardian