Sullivan County Boxing
Release of liability
Please read carefully. This affects your legal rights.
In exchange for participation in activities at Sullivan County Boxing located at 25 Sullivan Ave, Liberty, NY 12754 and/or use of the property, facilities and services of I agree to the following:
1 - I agree to observe and obey all posted rules and warnings, and further agree to follow oral instructions or directions given by the owner, or the employees, representatives or agents of Sullivan County Boxing.
2 - To the best of my knowledge, I am physically sound and have medical approval by my doctor to participate in the physical exercise activities of the type normally engaged in a voluntary health & fitness facility.
3 - I recognize that there are certain inherent risks associated with the above-described activity and I assume full responsibility for personal injury to myself and to the greatest extent allowed by law. I further release and discharge Untouchables Boxing Club for injury, loss or damage arising out of my use of or presence upon the facilities of Sullivan County Boxing whether caused by the fault of myself, or third parties.
4 - To the greatest extent allowed by the law I agree to indemnify and defend Sullivan County Boxing against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my use of or presence upon the facilities of Sullivan County Boxing.
5 - I agree to pay for all damages to the facilities of Sullivan County Boxing caused by my negligence, recklessness, or willful actions.
6 - Any legal or equitable claim that may arise from participation in the above shall be resolved under New York law.
7 - I have been oriented to proper use of the equipment and have read and understand the Sullivan County Boxing policies & rules.
I have read and understand this document and the operation policies and rules. I further understand that by signing this release, I voluntarily surrender certain legal rights.
Signature:
{sign_date}
Name: {name}
Parent or guardian (if minor):
Phone: {phone}
Address: {address}
In case of emergency, call: {contact_name}: {contact_phone} ({contact_relation})