CALVARY OF ALBUQUERQUE
SKATE PARK REGISTRATION
Skater’s Name: _____________________________________________________________________Skater’s Address: ___________________________________________________________________City: _______________________________________ State: _______________ Zip: _____________Phone: _________________________________ Email: ____________________________________Parent/Legal Guardian Name (if under 18) ______________________________________________Emergency Contact Name: _____________________________ Phone: ______________________Skater’s Date of Birth: ___________________ Name of School: ____________________________
EXPRESS WAIVER OF LIABILITY
I/we acknowledge that skating, skateboarding, and rollerblading (hereinafter referred to as “skating”) can bedangerous sports and activities in which we voluntarily choose to participate at our own risk. We are aware that theunusual risks, hazards, and dangers of personal injury death, disability, and property loss are increased when usingramps, curbs, steps, half-pipes, inclines, declines, bowls, rails, and other structures in the skate park. We know thatthe risks, hazards, and dangers include but are not limited to uncontrollable boards, falling, jumping, landing,performed tricks, colliding with other users, staff, volunteers, and spectators. We understand these risks anddangers are increased when other persons are present at the same time using the same facilities. Risks also varydepending on the skater’s abilities and experience of those also using the facilities. We are aware that skaters dosuffer from broken bones, loss of the body and death.
By this agreement, we relieve Calvary of Albuquerque, its staff and volunteers of any duty to any participation andsupervision and do assume the entire risk of any of the damages that might occur as a result of use of presence atCalvary of Albuquerque. By this agreement we also discharge and absolve Calvary of Albuquerque, staff andvolunteers from any liability for any active or passive negligence. We further waive and relinquish any claim or actionagainst Calvary of Albuquerque, its staff or volunteers for claims of personal injury, disability, death, medication,medical treatment, ambulance services, and the like or any other expense or property damage of loss due to use of the Calvary of Albuquerque skate park or due to supervision or maintenance of the skate park. We agree not to sueor use any legal recourse or exercise any legal right to seek monetary or other damages from Calvary of Albuquerque, its staff or volunteers. This waiver and release of liability and indemniﬁcation agreement shall be effective and binding upon our heirs, nextof kin, family, relatives, guardians’ conservators, executors, administrators, trustees, and assigns in the events of any injury, disability, or death.
Signature_____________________________________________________Date________________Signature of parent or guardian required if skater is under age 18.