COURAGE KENNY REHABILITATION INSTITUTE
COURAGE KENNY REHABILITATION INSTITUTE 3915 GOLDEN VALLEY ROAD GOLDEN VALLEY, MN-55422
VOLUNTEER'S WAIVER AND RELEASE OF LIABILITY AGREEMENT
This VOLUNTEER'S WAIVER AND RELEASE OF LIABILITY AGREEMENT
("Agreement") applies to my participation as a volunteer with Courage Kenny Rehabilitation Institute ("CKRI").
I am entering this Agreement in consideration of CKRI allowing me to volunteer. I specifically agree to the following for myself and on behalf of my heirs, administrators, personal representatives, and/or assigns (collectively referenced by any singular personal pronouns such as "I," "me," and "my"):
I am VOLUNTARILY agreeing to act as a volunteer, and I assume all risk of injury, harm, damage, or loss to me and my property that might result, including, without limitation, serious bodily injury, death, all risk of injury, harm, damage, theft or loss to me and my property that might result. If I engage in any physical activity as part of volunteering, or use of any CKRI facility or premises, I agree to do so at my own risk and assume the risk of any and all injury and/or damage while engaging in any physical activity or use of any CKRI facility on the premises. My assumption of risk includes, but is not limited to, my use of any CKRI pediatric, exercise or rehabilitation equipment (mechanical or otherwise), the locker room, sidewalk, parking lot, stairs, pool, whirlpool, sauna, steam room, gymnasium, reception area or any equipment in any CKRI facility. I agree to assume this risk in my participation in volunteering in any activity, class, program, service, instruction or CKRI sponsored event. I agree that I am VOLUNTARILY participating as a volunteer in CKRI activities and using CKRI facilities and premises and assume all risk of injury, harm, damage, or loss to me and my property that might result, including, without limitation, any loss or theft of any personal property.
I agree to hold harmless, release, and discharge CKRI, its owners, agents, employees, personnel, sponsors, officers, directors, representatives, volunteers, assigns, members, affiliated organizations, insurers, and others acting on its behalf (collectively referenced as “Associates”) of and from any claims, injuries, damages, demands or causes of action, whatsoever, whether the same be known or unknown, anticipated or unanticipated, to me or my property, whether arising out of or connected with CKRI’s, its Associates’, and/or other’s negligence or otherwise, except that which is the result of gross negligence or intentional, willful, or wanton conduct by CKRI or Associates. I further agree that, except in the event of CKRI’s, its Associates’ gross negligence or intentional, willful, or wanton acts, I shall not bring any claims, demands, legal actions and causes of action, against CKRI and/or its Associates for any economic and/or non-economic losses due to bodily injury, death, theft, or property damage sustained by me.
In the event of illness or injury to me, I authorize any representative of CKRI or one of its Associates to administer and/or secure medical treatment as deemed necessary.
I acknowledge that this Agreement is intended to be as broad and inclusive as permitted by law, and that if any of its provisions are held to be invalid or unenforceable by a court of competent jurisdiction, such holding shall not invalidate any of the other provisions of this Agreement because it is intended that the provisions of this Agreement are severable. This Agreement shall be governed by the laws of the State of Minnesota.
I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY AND EXPRESS ASSUMPTION OF RISK. I AM AWARE AND AGREE THAT BY SIGNING THIS WAIVER AND RELEASE, I AM GIVING UP MY RIGHT TO BRING LEGAL ACTION OR ASSERT A CLAIM AGAINST CKRI FOR ITS NEGLIGENCE OR OTHERWISE, EXCEPT IN THE CASE OF CKRI’s AND/OR ITS ASSOCIATES’ GROSS NEGLIGENCE OR INTENTIONAL, WILLFUL, OR WANTON ACTS. I HAVE READ THIS AGREEMENT AND I AM VOLUNTARILY SIGNING WITHOUT ANY ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENT APART FROM THE CONTENTS OF THIS AGREEMENT.
***FOR THOSE SIGNING FOR MINORS 18 years old and under:
I understand that this agreement also waives and releases CKRI liability for negligence causing any injury to my child &/or legal ward, heirs, administrators, personal representatives, assigns, and/or guests, if any. I attest that they are fit and prepared to utilize CKRI facilities and participate in CKRI activities.