Facility Rental Online Waiver Form

Required

All people using the gymnasium will be required to sign a waiver form as specified by Albert College prior to use of the gymnasium. The group organizer is responsible to have waivers completed prior to use of the facilities.

Completed online waivers will automatically be submitted to Albert College. Please forward a copy of your confirmation email to your event organizer.

Event Namerequired

Event Date

Must contain a date in M/D/YYYY format

Player / Participant Information

Namerequired

First Name

Last Name

Address

Phone Number

Email Address

(if applicable)

Emergency Contact / Guardian for Participants under the Age of 18

Namerequired

First Name

Last Name

Address

Cell Phone Numberrequired

Home Phone Number

Terms of Servicerequired

Unless I advise you otherwise in advance in writing, I approve of my participation in this activity, acknowledged that such participation involves risks and hazards incidental thereto, all of which are expressly assumed, and do hereby waive, release and absolve and agree to indemnify and save harmless Albert College and its Directors and employees of and from any and all liability arising therefrom, except such as a consequence of its or their willful neglect or default. It is understood and agreed that Albert College is entitled to require the withdrawal of my participation at any time if it is determined that no other sanction is appropriate in the circumstances of inappropriate conduct or disrespect towards staff and students.

Daterequired

Must contain a date in M/D/YYYY format

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Facility Rental Online Waiver Form

Player / Participant Information

Emergency Contact / Guardian for Participants under the Age of 18

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