City of Laguna Niguel Parks and Recreation Department
ACTIVITY PARTICIPATION WAIVER
REQUIRED BEFORE START OF FIRST CLASS PAGE 1 OF 2
WAIVER , RELEASE , HOLD HARMLESS , AND AGREEMENT NOT TO SUE
Contact Information :
Crown Valley Community Center 29751 Crown Valley Park Laguna Niguel , CA 92677
( 949 ) 425-5100 Registration @ CityofLagunaNiguel . org
I , ______________________ ( FULL NAME ), fully understand that my participation in the ______________________ ( hereinafter " event / class ") exposes me to the risk of personal injury , death , communicable diseases , illnesses , viruses , or property damage . I hereby acknowledge that I am voluntarily participating in this event / class and agree to assume any such risks .
The City of Laguna Niguel is not responsible for any loss , alteration , corruption or other damage to my personal property , including computers , networks and other personal property used as part of my participation in the event / class . The City of Laguna Niguel makes no warranty that 1 ) internet service will be adequate to facilitate the event / class , 2 ) internet service will be uninterrupted , timely , secure , errorfree or virus-free , 3 ) any information that may be obtained through the event / class will be accurate or reliable and / or 4 ) that any errors in software will be corrected .
I understand and agree that any material downloaded , viewed or otherwise obtained through the event / class is done at my own risk and I will be solely responsible for any loss or damage to my personal property , including computer systems and networks , or loss of data that results from the use , download and / or viewing of the event / class .
R e g i s t r a t i o n I n f o r m a t i o n
I hereby warrant and agree , that the conditions of my property , both personal and real , are suitable for participation in the event / class and that by participating in the event / class , I assume the risk that such property is not suitable and agree to hold The City of Laguna Niguel , their officers , agents and employees harmless from any loss or damage arising from injury to person or property arising from the use of such property in the event / class .
I hereby release , discharge and agree not to sue The City of Laguna Niguel , their officers , agents and employees for any injury , death or damage to or loss of personal property arising out of , or in connection with , my participation in the event / class from whatever cause , including the active or passive negligence of ___________ or any other participants in the event / class . The parties to this AGREEMENT understand that this document is not intended to release any party from any act or omission of “ gross negligence ,” as that term is used in applicable case law and / or statutory provision .
In consideration for being permitted to participate in the event / class , I hereby agree , for myself , my heirs , administrators , executors and assigns , that I shall indemnify and hold harmless The City of Laguna Niguel , their officers , agents and employees from any and all claims , demands actions or suits arising out of or in connection with my participation in the event / class .
I understand and agree that the event / class may be recorded for viewing and / or listening by others at a future date . I consent to The City of Laguna Niguel ’ s use of audio / video recordings of me during the event / class and that The City of Laguna Niguel may use audio / video segments or photograph stills of me for any purpose , including but not limited to news , advertising and promotional purposes , without compensation to me . I hereby release and hold harmless The City of Laguna Niguel , their officers , agents and employees from any claims relating to the use of my likeness and image .
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