MWR FITNESS EVENT WAIVER
IMPORTANT: THIS IS A LEGAL DOCUMENT
Please read and understand this document before signing. If you have any questions please ask us or consult an attorney.
Navy Morale, Welfare and Recreation (MWR) Department NAS Sigonella and its staff have done everything possible to assure that our patrons experience a rewarding experience. We wish to inform our patrons that participating in sports and fitness activities are not risk free. The same elements that contribute to the unique character and fun of sports such as physical exertion or the terrain can cause loss or damage to equipment, and injury, illness, or in extreme cases, permanent trauma or death to the participant or others under his or her supervision. We do not want to heighten or reduce your enthusiasm for the experience, but we do want you to know in advance what to expect, and to be informed of some of the possible risks. We ask that you read this, sign it, and return it to our office.
ACKNOWLEDGMENT OF RISK
I am participating in the program with the knowledge of the risks involved and hereby agree to accept any and all inherent risks including, but not limited to temporary or permanent muscle soreness; sprains; strains; cuts; abrasions; bruises; ligament and/or cartilage damage; head; neck or spinal injuries; loss of use of arms and/or legs; eye damage; disfigurement; or even death. I also recognize that there are both foreseeable and unforeseeable risks of injury that may occur as a result of participating is this program. Furthermore, I recognize that participation in the program involves activities and risks incidental thereto, including but not limited to, travel to and from competitions, practices, and other related activities, limited availability of medical assistance and the possible reckless conduct of other participants.
This list is not an exclusive or exhaustive list of possible injuries, trauma, or accidents that may occur participating in this program. Most of these injuries are rare and you are not likely to encounter them. However, they have occurred, and you need to know about them and other possible injuries not mentioned above. These injuries occur more often when the participants are not physically able to undertake these activities.
CONTRACT, WAIVER, RELEASE AND INDEMNIFICATION
I certify that I am fully capable of participating in the Navy MWR Fitness Program at NAS Sigonella. I state that I have read the above statement on some of the possible risks associated with participating in the Navy MWR Fitness Program. Therefore, I assume full responsibility for myself, for bodily injury, death and loss of personal property and any expenses as a result of my negligence or the negligence of Navy MWR Department NAS Sigonella and its staff. I also understand that Navy MWR Department NAS Sigonella reserves the right to refuse any person it judges to be incapable of meeting the rigors and requirements of participating in this event and/or using this facility.
I agree to indemnify and hold harmless Navy MWR, Navy MWR Department NAS Sigonella, NAS Sigonella and its staff, and the U.S. Navy, and its members, agents and employees from all claims, damages, losses, injuries and expenses arising out of or resulting from my participation in this program. I further agree to release, acquit and covenant not to sue Navy MWR, Navy MWR Department NAS Sigonella, NAS Sigonella and its staff, and the U.S. Navy, and its members, agents and employees for all actions, causes of action claims or damages, damages in law or remedies in equity of whatever kind, including the negligence of Navy MWR Department NAS Sigonella and its staff or my family, myself, or my heirs, against Navy MWR Department NAS Sigonella arising out of participation in this program. In short, I cannot sue Navy MWR, Navy MWR Department NAS Sigonella, NAS Sigonella and its staff, and the U.S. Navy, and its members, agents and employees, and if I do, I cannot collect any money.
I agree to the site of any lawsuit and the law governing any such lawsuit shall be governed under the Federal Tort Claims Act, Military Claims Act, Foreign Claims Act, Suits in Admiralty Act, Public Vessels Act or Admiralty Extension Act, whichever is applicable. As liquidated damages, I hereby agree that if Navy MWR Department NAS Sigonella is forced to defend any action, lawsuit or litigation by myself, my executors, or my heirs, on my family's or my behalf; accordingly, my heirs or executors and I agree to pay court costs and attorney fees if they successfully defend such action, lawsuit or litigation. Should any paragraph or part of this agreement be declared unenforceable by a court of competent jurisdiction, the remaining parts or paragraphs shall remain in full force and effect. A copy of this release can be used as if it was an original.
I authorize and release to Navy MWR Department NAS Sigonella and its staff the use of my image in any photograph or video recording for any purpose of Navy MWR Department NAS Sigonella.
I have adequate health, disability and life insurance for my family and myself. I hereby give permission for transportation to any medical facility or hospital, and I authorize for any guide, or medical personnel to render necessary emergency medical care for my family or me. I hereby authorize the release of any medical information, including information concerning my HIV or “AIDS” status, in the possession of Navy MWR Department NAS Sigonella to any medical facility, hospital, ambulance, first aid provider, first aid service, doctor, nurse or other such person rendering care on my behalf. I hereby waive any action or claim against Navy MWR Department NAS Sigonella and its staff or any health care provider, hospital, doctor, nurse, or first aid provider for the release of this medical information including my HIV or “AIDS” status.
I, of my own free will, for my family, my minor children, my heirs and executors and myself, have read, understand and acknowledge the risks and liability for myself,
I have read and understood this agreement