Sportsplex @ Fairfield
85 Mill Plain Rd, Fairfield, CT 06824
(203) 683-0000
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND
INDEMNITY AGREEMENT (“AGREEMENT”) ©Pending
In consideration of participating in the Activities offered at the Sportsplex@Fairfield, including but limited to:
gymnastics, cheerleading, dance, field sports, rock climbing and bouldering, I represent that I
understand the nature of these Activities and that I am qualified, in good health, and in proper physical condition to
participate in such Activities. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue
participation in the Activities. I fully understand that these Activities involves risks of serious bodily injury, including
permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others
participating in the event, the conditions in which the event takes place, or the negligence of the “releasees” named
below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully
accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation
in the Activities.
I hereby release, discharge, and covenant not to sue Gymnastics & Cheerleading Academy of CT, GCA Parkour, Sportsplex
at Fairfield, Specialty Ice Rinks Inc, Pond Bus, Fairfield Athletic Center, Field
House at Sportsplex, RCF, 85 Pond Mill, World Champion Taekwondo, KMK, its respective administrators, directors,
agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and
lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” herein) from all liability,
claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence
of the “releasees” or otherwise, including negligent rescue operations and further agree that if, despite this release,
waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will
indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur
as the result of such claim.
I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any
inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the
greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance,
notwithstanding, shall continue in full force and effect.