Party Participant Waiver of Liability

Birthday Party Guest Waiver

This form must be signed electronically and the waiver of liability accepted before attending a YMCA of Metro North party.


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Acknowledgement of Waiver of Liability: All Party Guests Must Agree to the Waiver to Participate in the Party(Required)

We, the staff of, and directors of the YMCA of Metro North, recognize our obligation to make our students and their parents aware of the risks and hazards associated with attending a party at the YMCA. Party participants may suffer injuries, possibly minor, serious, or catastrophic in nature.

YMCA activities including but not limited to: swimming, gymnastics, sports, bounce house, adventure zone and other birthday party activities can be dangerous and may lead to injury or possibly death. Parents are required to ensure their children to follow all the safety rules and the YMCA employee instructions. YMCA of Metro North and its staff members will not accept responsibility for injuries sustained by any party participant during the birthday party or in which he or she may participate in or while traveling to or from the event.

By electronically acknowledging the risks and electronically signing this form, the parent or guardian acknowledges these risks of injury, and agree that YMCA of Metro its staff, directors and representatives will not be responsible for any such injuries.

Release and Waiver of Liability
With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the birthday party offered by the YMCA of Metro North I, my executors or other representatives, waive and release all rights and claims for injuries or damages that I or my child may have against YMCA of Metro North and/or its staff, directors or representatives whether paid or volunteer. I

also affirm that I now have and will continue to provide proper hospitalization, health, and accident insurance coverage, which I consider adequate for both my child’s protection and my own protection.

Medical Emergencies – Permission to Treat
I fully understand that the YMCA of Metro North staff, directors and representatives are not physicians or medical practitioners of any kind. With the above in mind, I hereby grant consent and permission to YMCA of Metro North staff, directors and representatives to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary by the YMCA of Metro North staff to seek medical help by calling an ambulance for said child.

By electronically signing below I acknowledge I have read the above and agree to all of these terms.

Parent or Guardian Name and Electronic Signature(Required)







Name of Child/Person Attending the Party(Required)







Sign a separate Waiver for each child/person attending.


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