Online Injury Release & Waiver - Oxford Athletic Club

Injury Release & Waiver

Please complete the below information, filling out all relevant fields for you and your family. A waiver needs to be completed by a parent or guardian for each family regardless of who is entering the facility. Keep the email receipt for this waiver and present it to the Oxford Athletic Club front desk staff upon your arrival.

For member guests, please note that this does not serve as a guest pass and you will be required to meet with the Membership Team to complete your guest pass.

I'm here for...

Do you want membership information?(Required)

Parent/Guardian Name(Required)

First Last

Spouse/Partner Name

First Last

Relationship

Your Email(Required)

Your Phone(Required)

Children

Child's Name

Child's Age

Your Relationship

Consent(Required)

I agree to the following terms:

The individual named below (referred to as "I", "me", "my" or "Participant") desires to participate in certain activities or events (the "Activities") provided or hosted by Oxford Club of Wexford, GP, LLC, a Pennsylvania limited partnership (the "Company") at 100 Village Club Drive, Wexford, PA 15090 (the "Facility"). As lawful consideration for being permitted by the Company to use the Facility and to participate in the Activities, I agree to all of the terms and conditions set forth in this agreement (this "Agreement").

I AM AWARE AND UNDERSTAND THAT THE ACTIVITIES ARE DANGEROUS ACTIVITIES AND INVOLVE THE RISK OF SERIOUS INJURY AND/OR DEATH AND/OR PROPERTY DAMAGE. I ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY BE COMPOUNDED BY NEGLIGENT EMERGENCY RESPONSE OR RESCUE OPERATIONS OF THE COMPANY. I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DEATH, OR PROPERTY DAMAGE, WHETHER CAUSED BY THE NEGLIGENCE OF THE COMPANY OR OTHERWISE.

I am also aware and understand that the Company may desire to use and publicize my name, likeness, picture and other personal characteristics for advertising, promotion, and other commercial and business purposes and I hereby give the Company my permission for such use and publicity for such purposes, without additional compensation of any kind.
I hereby expressly waive and release any and all claims, now known or hereafter known in any jurisdiction throughout the world, against the Company, and its officers, directors, employees, agents, affiliates, partners, members, successors, and assigns (collectively, "Releasees"), on account of injury, death, or property damage arising out of or attributable to the Activities, whether arising out of the negligence of the Company or any Releasees or otherwise. I covenant not to make or bring any such claim against the Company or any other Releasee, and forever release and discharge the Company and all other Releasees from liability under such claims.
I shall defend, indemnify, and hold harmless the Company and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including attorney fees, other fees and the costs of enforcing any right to indemnification under this Agreement, and the cost of pursuing any insurance providers, arising out or resulting from any claim of a third party related to the Activities.

This Agreement constitutes the sole and entire agreement of the Company and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Agreement is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or provision in any other jurisdiction. This Agreement is binding on and shall inure to the benefit of the Company and me and their respective successors and assigns. All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal laws of the Commonwealth of Pennsylvania without giving effect to any choice or conflict of law provision or rule. Any claim or cause of action arising under this Agreement may be brought only in the federal and state courts located in Allegheny County, Pennsylvania and I hereby consent to the exclusive jurisdiction of such courts.

By signing below, I acknowledge that I have carefully read and understand the terms of this Agreement. I am also the parent or legal guardian of minors named above. I have the legal right to consent to and by signing below, I hereby do consent in all respects to the terms and conditions of this Injury Release and Waiver and agree to both the minor and I shall be bound by all of its terms and conditions

Today's Date:(Required)

Parent/Guardian Signature(Required)

Spouse/Partner Signature(Required)

Please Note: If there are any other adult family members/grandparents/etc. joining you, they will need to submit their own waiver.