Ultimate Athletics, LLC Liability Waiver for the Islandia Indoor Facility 

Indoor Volleyball League – Fall 2007 

MEMBERSHIP I am signing up as a member of the Islandia Ultimate Athletics facility. Any guests I bring to the facility are my responsibility and I assume any risk or liability associated with them. 

WAIVER OF LIABILITY, MEDICAL RELEASE AND INDEMNIFICATION AGREEMENT In consideration of and as a condition of the above listed player’s (the “Player”) acceptance and participation in the Ultimate Athletics Indoor Volleyball League (the “Program”) and recognizing the possibility of physical injury associated with volleyball and performance training, I hereby for the Player and myself, our heirs, executors and administrators, waive and release, discharge and/or otherwise indemnify the Program and its associated personnel, including the owners of fields and facilities utilized for the Program against any claim by or on behalf of myself or the Player resulting from the Player’s participation in the Program that is now existing or hereafter may exist for damage or injury to the Player, or to any person or property, resulting from the negligence or other acts of any employees or volunteers in connection with the Player’s participation in the Program. I further agree to indemnify and to hold the Program (including its associated personnel) free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of any injury and/or property damage that I or the Player may cause or sustain while participating in the Program. I further agree that this waiver, release and assumption of risks shall be binding on the heirs and assigns of the undersigned and the Player. I understand that medical insurance coverage is necessary and required for the Player’s participation in the Program, and that adequate coverage is the responsibility of the player. If the player is under the age of 18, the coverage is the responsibility of the parent or guardian of the Player. 

I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND THE PROGRAM AND SIGN IT OF MY OWN FREE WILL. 

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(Player’s Printed name)                    (Player’s Signature)              (Date) 

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(Parents Printed name- if under 18) (Parents Signature)              (Date)