CONSENT AND RELEASE OF LIABILITY FOR PROGRAM PARTICIPATION:
I hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities of Armed Services YMCA programming for myself and my family members. I will not hold the Armed Services YMCA San Diego liable for any injuries incurred during programming or in transit to and from the program whether caused by equipment or the act or omissions of others excepting damage or injury solely caused by the willful misconduct or negligence of the Armed Services YMCA San Diego, or its employees, volunteers, or agents. I do hereby authorize the Armed Services YMCA San Diego as agent for all Armed Services YMCA Members, to consent with respect to the minors, to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under general or special supervision of, any physician and surgeon licensed under the provisions of the California Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physician or at the hospital. I understand that the Armed Services YMCA San Diego is not responsible for costs incurred for medical care. If I participate in the program, whether as coach, instructor, aide, spectator, or participant, I presently waive as to the Armed Services YMCA San Diego and staff, officers and directors thereof, any claim presently known or
unknown for damage to property or personal injury whether caused by equipment or the acts or omissions of others including Armed Services YMCA San Diego personnel.