I, the undersigned, as a participant (the “Participant”)* using the swimming pool, fitness facilities and equipment,
and other services of the Jerome Village Community Center (the “Activity”) understand that there are certain inherent risks
associated with participating in the Activity. In consideration for my participation in the Activity, I, on behalf of myself, my
representatives, heirs, and assigns, do hereby release and waive and agree to hold the Jerome Village Community Authority
and its Board of Trustees, the manager of the Community Center, Jerome Village Company, LLC, and their respective
members, officers, employees, and agents, harmless from any and all claims, liabilities, causes of actions, or damages arising
from, resulting from, or in any way related to any injury, death, loss or damage of whatever nature or description to person
or property, including theft or other intentional actions of third parties, resulting from my participation in the Activity. I do
hereby assume all risks related to such participation. I acknowledge that I am participating in the Activity voluntarily. I
agree that this Waiver and Release and Assumption of Liability shall be binding upon my successors, representatives, estate,
heirs and next of kin.
By signing below you acknowledge that you have received and read all the “Rules and Regulations” for the Jerome Village
*Waiver must be acknowledged by each Participant 18 years or older that resides in the household.