Wah Ying Social Club
727 Clay Street
San Francisco, CA 94108
ph: 1-415-982-6229
fax: 1-415-982-6229
wahying7
I, ______________________, the Participant, of ________________________, do voluntarily sign this waiver and assumption of risk in favor of the following business or organization WAH YING CLUB, of San Francisco, in consideration for any or all of the following:
1. The opportunity to use facilities owned, leased, or operated by the business or organization, and/or
2. The opportunity to receive instruction in an activity from the business or organization's employees and/or volunteers, and/or
3. The opportunity to use the business or organization's equipment, and /or
4. The opportunity to engage in the activities sponsored e conducted by the business or organization.
The specific facilities, instructions, equipment and/or activities are as follows:
I fully understand that there are certain risks and dangers associated with the facilities, instructions, equipment and/or activities that cannot be eliminated regardless of the care taken to avoid injuries and that these risks and dangers have been fully explained to me. I fully understand the risks and dangers involved. I fully assume the risks and dangers involved as acceptable to me, and I agree to use my best judgment in undertaking these activities, and I agree to follow all safety instructions. I waive, release, covenant not to sue, and agree to indemnify and hold harmless the business or organization from any claims, actions, suits, costs, expenses, damages or liabilities, including attorney's fee for personal injury, property damage, accidents, illnesses, death, or any incidental damages that may arise from my use of the facilities or equipment or from my participation in the activities or receipt of Instruction.
I am a competent adult, aged _____, and I assume these risks of my own free will. I have read this Waiver and Assumption of Risk and I understand its terms. I understand that I am giving up substantial rights, and I acknowledge that I intend by my signature that this be a complete and unconditional release of all liability to the greatest extent allowed by law.
Dated:______________________
___________________________________________________
Name of Customer (Please Print)Signature of Customer
PLEASE NOTE:
The above club rental agreement form may not print clearly. Please contact the club secretary and all agreement forms can be sent by mail, e-mail or fax.
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Maintained by Linyi Yu
If you have any questions or suggestions, please email Linyi Yu at linyiyu.feng@gmail.com
Copyright 2009 Wah Ying Social Club. All rights reserved.
Wah Ying Social Club
727 Clay Street
San Francisco, CA 94108
ph: 1-415-982-6229
fax: 1-415-982-6229
wahying7