Waiver and Release of Liability Agreement
Community Services Programs or Events
City of Thornton

This agreement must be filled out for all program and events participants.

Risk acknowledgment:

I acknowledge that the City of Thornton Community Services' programs and events entail inherent risks. Those risks include, but are not limited to, death, bodily injuries, disability, personal injury, and property damages. I hereby assume all of the risks in my, or my child's/dependent's, participation in the program or event. If applicable, I represent that I am, or my child/dependent is, in good health and physically capable of participating in a program or event involving physical activities which may be strenuous and hazardous. I acknowledge and agree that I will accept full responsibility for my own safety or the safety of my child/dependent and will respect the safety of other participants.

Waiver, release, and covenant not to sue:

In consideration of permission given or to be given to me or my child/dependent to participate in City of Thornton Community Services' programs or events and to use its facilities, and subject to the rights, privileges, immunities and limitations of the Colorado Governmental Immunity Act (CGIA), C.R.S. 24-10-101 et seq., each of the undersigned hereby covenants and agrees not to sue the City of Thornton, its directors, officers, employees, volunteers, or agents for any loss or damage, including death, sustained while participating in the program or event or using the facilities, and is fully responsible for any such loss or damage. Each of the undersigned hereby further agrees to fully release, indemnify, and hold harmless the City of Thornton, its directors, officers, employees, volunteers or agents from any and all causes of action, demands, claims, losses, or damages, of any nature whatsoever, including but not limited to, a claim for negligence, unless otherwise provided in the CGIA, which participant, his/her heirs, representatives, executors, administrators, or assigns may now have, or have in the future, against the City of Thornton. This waiver, release, and covenant not to sue shall be construed broadly to provide a release or waiver to the maximum extent permissible under Colorado law.

Permission for emergency medical services:

In consideration of the possibility of an incident, the participant hereby consents to emergency transportation and treatment necessary in the event of an injury or illness. Participant hereby accepts responsibility for the payment of any emergency transportation and treatment expenses and any subsequent medical bills. Participant acknowledges that the City of Thornton has not purchased any health or accident insurance to cover such expenses and is not responsible for such expenses.

Permission for photography/video:

I understand that during the program or event, I, or my child/dependent, may be photographed. I agree to allow my photo, video, or film likeness or that of my child/dependent be used for any legitimate purpose by the City of Thornton.

Agreement and signatures:

Each of the undersigned represents and promises that he/she (1) has full authority to execute this document; (2) has fully read this document; (3) would not have signed this document unless he/she fully understood its intent to bar any future claims against the released parties and to protect the released parties from any future loss of liability arising out of or resulting from participation in the program or event by the undersigned or, if applicable, the minor child/dependent; (4) has had the opportunity to have his/her attorney review this document and explain this document to him/her if I desired; and (5) that this document has been signed by the parent or guardian of any child/dependent, if applicable. Each of the undersigned agrees and understands that the duration of this agreement is perpetual and will not be invalidated by the mere passage of time. The undersigned agrees and understands that this agreement remains valid unless and until the undersigned executes a subsequent agreement authorized by the City of Thornton.

Example: 9500 Civic Center Dr, Thornton, CO 80229
If participant is over the age of 18:
Participant, if 18 years of age or older
If participant is under the age of 18:

Parent/Guardian has read this agreement and agrees to their child's or dependent's adherence to all of its elements:

Parent/Guardian Signature if Participant is under the age of 18