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Massachusetts Liability Release Form 1

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This liability release form is provided by the University of Massachusetts to release its future liability in case any injury or accident occurs to the participants involved in the GoKids Boston Program.

Massachusetts Liability Release Form 1
RELEASE AND WAIVER OF LIABILITY AGREEMENT
PLEASE READ THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT
CAREFULLY. MAKE SURE YOU UNDERSTAND ITS CONTENTS AND SEEK ANY
ADVICE YOU MAY NEED BEFORE EXECUTING THIS RELEASE AND WAIVER OF
LIABILITY AGREEMENT.
IN CONSIDERATION of my child, ___________________________________,
(my “Child”) being permitted to participate in the activities or programs of the University
of Massachusetts, through its GoKids Boston Program, (“GoKids Boston”) or being
permitted to use GoKids Boston’s facilities, equipment or machinery, the undersigned
parent or legal guardian of the Child, for herself or himself (the “Parent”) and on behalf
of the Child named herein, agrees and acknowledges as follows:
1. Participant hereby waives any and all claims for personal injury, death, illness,
loss, expense, emotional condition, or property damage that Child or Parent may
have against the Commonwealth of Massachusetts, the University of
Massachusetts, its Trustees, officers, employees, servants, agents and executors
arising out of Child’s participation in any of the activities or programs of GoKids
Boston or use of GoKids Boston’s facilities, equipment, or machinery; except to
the extent said claims are caused by the gross negligence of GoKids Boston.
2. Participant hereby forever releases and hold harmless the Commonwealth of
Massachusetts, the University of Massachusetts, its Trustees, officers, employees,
servants, agents and executors from and against any and all liability or
responsibility for any claims, loss, damage, injury, death, illness, emotional
condition, medical or other expense that Child may suffer or that Child may cause
another to suffer, arising out of Child’s participation in the activities or programs
of GoKids Boston or use of GoKids Boston’s facilities, machinery or equipment,
except to the extent said claims are caused by the gross negligence of GoKids
Boston.
3. Participant acknowledges that strength training, feasibility testing, and aerobic
exercise, including the use of equipment or machinery, are potentially hazardous
activities. Parent also acknowledges that fitness activities involve a risk of injury
and even death. Parent agrees to voluntarily allow Child to participate in
activities or programs of GoKids Boston and use the facilities, equipment or
machinery with the knowledge of the dangers involved. Parent on behalf of
Parent and on behalf of Child agrees to expressly assume and accept any and all
risks of injury, death or loss that may occur to Child as a result of Child
participating in the activities or programs of GoKids Boston or the use of the
facilities, equipment or machinery. (Please initial ________)
4. Participant acknowledges and declares that Child is physically and emotionally
sound and is suffering from no known condition, impairment, disease, infirmity,
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Massachusetts Liability Release Form 1
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