WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT
In consideration for being permitted to utilize the facilities, services, and programs of the YMCA of Northwest Florida for any purpose, including but not limited to observation or use of facilities or equipment, or participation in any program affiliated with the YMCA, without respect to location, the undersigned, for himself or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will inspect and carefully consider such premises and facilities or the affiliated program. It is further warranted that such entry into the YMCA for observation or use of any facilities or equipment or participation in such affiliated program constitutes an acknowledgement that such premises and all facilities and equipment thereon and such affiliated programs have been inspected and carefully considered and that the undersigned finds and accepts same as being safe and reasonably suited for the purpose of such observation, use, or participation.

IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE YMCA FOR ANY PURPOSE, INCLUDING BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY PROGRAM AFFILIATED WITH THE YMCA, WITHOUT RESPECT TO LOCATION, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:

1) THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the YMCA, its directors, officers, employees, and agents (hereinafter referred to as “releasees”) from all liability to the undersigned, his personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence of the releasees or otherwise while the undersigned is in, upon, or about the premises or any facilities or equipment therein, or participating in any program affiliated with the YMCA, without respect to location.

2) THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any loss, liability, damage, or cost they may incur due to the presence of the undersigned in, upon, or about the YMCA premises or in any way observing or using any facilities or equipment of the YMCA or participating in any program affiliated with the YMCA whether caused by the negligence of the releasees or otherwise.

3) THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE due to negligence of releasees or otherwise while in, about, or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA.

THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the state of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

PHOTO AND VIDEO RELEASE
I give permission to the YMCA of Northwest Florida to use, without limitations or obligation, photographs, film footage, or tape recordings, which may include my image or voice for purpose of promoting or interpreting YMCA programs.

RECURRING PAYMENT AUTHORIZATION
I authorize the YMCA of Northwest Florida (“YMCA”) to make monthly charges against my payment method without further notice. I agree to notify the YMCA of any changes in my account information at least three (3) days prior to the next billing date. I understand that I will not be able to rejoin or reenroll in a YMCA program for myself or my child(ren) without first paying all outstanding balances.

In the case of a credit card payment being dishonored, I acknowledge that I am subject to the outstanding balance and a $25.00 service charge. In the case of an ACH transaction being dishonored, I understand that eCashflow Systems, Inc. will attempt to process the charge within 30 days, and I agree to an additional $25.00 charge for each attempt returned, which will be initiated as a separate transaction from the authorized recurring payment.

Termination: This authorization will be continuous until notification has been received by the YMCA at least three (3) days before the said payment date.

Refunds: Refunds of membership fees may be made in certain instances. In each case, the circumstances are to be reviewed by a designated staff person to determine the conditions of the refund. A service charge may be charged. Members have up to 90 days to dispute drafted membership dues.


ACCEPTANCE
I accept all provisions of membership set forth above and, understanding the mission of the YMCA, hereby apply for membership. I understand that programs and schedules change.  The Joiner’s Fee is a one-time fee as long as the membership does not lapse for more than 90 days. The YMCA reserves the right to increase membership rates annually at a rate consistent with the rate of inflation.

 

By clicking this link you accept the terms and conditions of membership in the YMCA of Northwest Florida