WPC 8y*IOIMvMy^yDNʒSAZg)ZZhjaKr#;>3 +A1UU]GdVQHKd΍?/)(g1Dy8h M=VRh bGKꏎw\=bTm</dp7 O)Q?XR:~+\49Y3XᄴKM~B7ݎ01 9okXq R5zW G[ L NGMFDinU` {.LKUOG)Xk{L߃%~TLv\xjdu9VSa* ʠ'VIs| iWOwpq>Y:.p%4E6B*)P1~:Zx.^$KIƸx͞vPPy~Yfv 2c -0u k4#DU: %? 0:EN^ w@4 mNbN2  0NR2#|xIHP LaserJet 4100 PCL60-zAZ"Arial Regular($USUS.,-L @[A[B[CEDEUFEGEHEIgYX-ertyBarU Page of &http://www.oaksnorth.net(O$http://www.oaksnorth.net ,, !USUS.,  _,X  I8dd8I?<=-XX4,XX-H% X4,X,0*XXX4,XHbI8s% %dd8I@l l  OAKSNORTHCOMMUNITYCENTER,INC . 4 @  ASeniorCitizenHousingDevelopment   @99 12578OAKSNORTHDRIVESANDIEGO,CALIFORNIA92128-1699  @ TELEPHONE(858)487-0120FAX(858)487-5328  @uu"4 uO  5  www.oaksnorth.net65OI  7 cwԈ l @ RELEASEANDWAIVEROFLIABILITYAGREEMENT n  @ZZ COVENANTNOTTOSUEANDEXPRESSASSUMPTIONOFRISKOFINJURY  R   @$ INTRODUCTION     _________   ЀInitials 0  04T$T$1.0` 4T$4T$Bysigningthisthree(3)pagedocument,you GIVEUPYOURRIGHTTOSUE the   OaksNorthCommunityCenter,Inc.,oranyofitsagentsoremployees,ifyou f  becomeinjuredordiewhileintheexercisearea. EVENIFYOURINJURYOR B  DEATHWASCAUSEDBYTHENEGLIGENCEOFTHEOAKSNORTH |$ COMMUNITYCENTER.INC.ORONEOFITSAGENTSOREMPLOYEES .^` T$` T$  _________ @ ЀInitials 0  04T$T$2.0` 4T$4T$Exercisinginvolvingtheuseofexerciseequipmentwhichmaycauseinjuryis $ inherentlydangerous.` T$` T$  _________  ЀInitials 0  04T$T$3.0` 4T$4T$Bysigningbelow,andonotherpagesofthisdocument,youacknowledgethatyou p understandthattherearenoguaranteesofsafetyandthatyouandyourspouse, T heirsorrepresentativescannotsuetheOaksNorthCommunityCenter,Inc.orany 0 ofitsagents,employees,orrepresentativesfordamagesshouldyoubeinjuredor d  killedontheexercisepremises.@` T$` T$ X BYMYINITIALSABOVE,ISIGNIFYTHATIHAVEREADEACHOFTHEFOREGOINGPROVISIONS.  BYMYINITIALSANDSIGNATUREBELOWANDONTHEFOLLOWINGTWO(2)PAGES,ISIGNIFY d THATIUNDERSTANDTHEDANGERSINHERENTINUSINGTHEEXERCISEAREAANDAGREE F THATBYMYSIGNATUREANDINITIALSONTHISPAGE,ANDONTHEFOLLOWINGTWO(2) (  PAGES,IVOLUNTARILYRELEASE,WAIVEANDDISCHARGETHEOAKSNORTHCOMMUNITY b ! CENTER,INC.,ANDALLAGENTS,EMPLOYEES,ANDREPRESENTATIVESTHEREOF,FROMALL D " LIABILITYFORMYINJURYORDEATH.CAUSEDBYTHEIRACTIVEORPASSIVENEGLIGENCE &!# ORBASEDUPONSTRICTORVICARIOUSLIABILITYINTORT. "$ IVOLUNTARILYASSUMEALLRISKOFINJURY. #t!& @e e CAUTION:DONOTSIGNWITHOUTREADING  %8#(  DATE:____________________________________ N'$* __________________________________________ )'- Releaser'sSignature *(. __________________________________________ ,N*0 NamePrinted -2+1 MembershipNo.____________________________ R/,3 b ,,   X@l l OAKSNORTHCOMMUNITYCENTER,INC. X @  ASeniorCitizenHousingDevelopment < @9912578OAKSNORTHDRIVESANDIEGO,CALIFORNIA92128-1699  @ TELEPHONE(858)487-0120FAX(858)487-5328  @uu"4 uO  5  www.oaksnorth.net60OD  7 crԈ  @ RELEASEANDWAIVEROFLIABILITYAGREEMENT T @?? COVENANTNOTTOSUEANDEXPRESSASSUMPTIONOFRISKOFINJURY 8  INCONSIDERATIONOFBEINGPERMITTEDTOENTERTHEEXERCISEROOMAREAANDUSE X   THEEQUIPMENTLOCATEDTHEREIN,I______________________________________________ :   Ѐ PrintYourName    D DFORMYSELF,MYPERSONALREPRESENTATIVES,MYHEIRS,ANDMYNEXTOFKIN:C o   CE o   ED D_________ 5  ЀInitials0  04T$T$1.0` 4T$4T$HEREBYACKNOWLEDGE thatIhave VOLUNTARILY appliedforpermissionto   enterthe RESTRICTEDEXERCISEAREA oftheOaksNorthCommunityCenter. ` T$` T$ _________  ЀInitials0  04T$T$2.0` 4T$4T$HEREBYACKNOWLEDGETHATIAMFULLYAWARE that FORMYOWN m PROTECTION Imustconsultmyphysicianbeforebeginningaprogramofexercise. Q` T$` T$ _________ 5 ЀInitials0  04T$T$3.0` 4T$4T$DECLARETHATIAMFULLYAWARE thatthepremisesare INHERENTLY q DANGEROUS andthattheexerciseareaisinherentlydangerousandthatImay U becomeinjuredorkilled. 9` T$` T$ _________  ЀInitials0  04T$T$4.0` 4T$4T$ Withfullknowledgeofthedangersinvolved,Ineverthelessvoluntarilywishtoenter  the RESTRICTEDEXERCISEAREA.` T$` T$ _________ i ЀInitials0  04T$T$5.0` 4T$4T$INEXCHANGE forbeingpermittedtoenterthepremisesandusetheequipment M therein,formyself,andmyheirs,successorsandassigns, IHEREBYRELEASE, 1 WAIVEANDDISCHARGEthe OaksNorthCommunityCenter,Inc.,anyofits m agents,oranyofitsemployees,fromanyandallliabilitytomeand/ormyfamily, Q  heirs,andassigns,asaresultofanyinjuryordeatharisingfromuseof,orpresence -! in,theExerciseRoom,evenifsaidinjurywascausedbythe PASSIVEORACTIVE  " NEGLIGENCE oftheOaksNorthCommunityCenter,Inc.,anyofitsagents,orany  # ofitsemployeesandalso RELEASE,WAIVEANDREMISE anyandallclaims !w$ baseduponstrictliabilityintortoruponvicariousresponsibility.Formyselfandmy "[ % heirs,successorsandassigns,Ialsocovenantnottosuethesaidpersonsor #7!& entitiesforanyclaimarisingfromsuchinjuryordeath. k$"'` T$` T$ _________ G%"( ЀInitials0  04T$T$6.0` 4T$4T$IHEREBYASSUMEFULLRESPONSIBILITY forandriskofbodilyinjury,deathor +&#) propertydamageduetotheactiveorpassivenegligenceoftheOaksNorth '$* CommunityCenter,Inc.,anyofitsagents,oranyofitsemployeesandforallclaims '%+ baseduponstrictorvicariousliability. (o&,` T$` T$  __ C>>C _ C@@C ______AACB BCAA񀀀0 0 T$ T$0hT$T$)K'-hT$hT$ ЀInitials0  04T$T$7.0` 4T$4T$IUNDERSTAND thatsomeoftheexerciseequipmentIntheexerciseareamaybe *-(. dangerousifusedeithercorrectlyorincorrectlyandfurtherthatsomeofthe i+)/ equipmentmayhavebeenmodified; IHEREBYRELEASE theOaksNorth E,)0 CommunityCenter,Inc.,allofitsagentsandallofitsemployeesfromanyliability )-*1 duetothemodificationunfitness,lackofrepairsoranyothermanufacturingor .+2 designdefectsconnectedwith  theequipmentcontainedintheExerciseareaorIn .,3 thepremisesthemselves. /e-4` T$` T$ Ї_________ X ЀInitials0  04T$T$8.0` 4T$4T$ Ifanyportionofthiscontractisadjudicatedunenforceable,saidportionwillbe < severed;theremainingportionwillremaininfullforceandeffect.  ` T$` T$ _________  ЀInitials0  04T$T$IHAVEREADANDVOLUNTARILYSIGNTHISRELEASEANDWAIVEROF  LIABILITYAGREEMENT, andfurtheragreethatnooralrepresentations,statements, l orinducementsapartfromtheforegoingwrittenagreementhavebeenmade. P4T$4T$ _________ , 򀀀Initials0  04T$T$IACKNOWLEDGETHATIHAVEBEENOFFEREDANOPPORTUNITYTOHAVE h  THISAGREEMENTREVIEWEDBYMYATTORNEYANDIHAVESATISFIED L   MYSELFTHATIUNDERSTANDTHEAGREEMENTANDWISHTOEXECUTEIT. .   ЀIACKNOWLEDGETHATIFANYACTIONISBROUGHTINWHICHTHIS   AGREEMENTISOFFEREDASADEFENSE,ORFORTHEPURPOSEOF   INTERPRETINGTHISAGREEMENTANDDECLARINGRIGHTSAND  |  OBLIGATIONSTHEREUNDERTHATTHEPREVAILINGPARTYWILLBE ^  ENTITLEDTOREASONABLEATTORNEYFEESANDCOSTS.@ 4T$4T$ _________ z" 󀀀Initials0  04T$T$IUNDERSTANDTHAT,BYSIGNINGBELOW,IRELEASETHEOAKSNORTH \ COMMUNITYCENTER,INC.,ALLITSEMPLOYEESANDALLOFITSAGENTS, @ FROMANYLIABILITYORCLAIMFORDAMAGESIFIAMINJUREDORKILLED " BYTHEIRACTIVEORPASSIVENEGLIGENCE,ANDFROMANYANDALL  LIABILITYFORINJURIESRECEIVEDBYMEDURINGTHEUSEOFTHE  EXERCISEROOMFACILITIESANDEQUIPMENTATTHEOAKSNORTH p COMMUNITYCENTER,PROVIDEDTHENEGLIGENCEOFTHEOAKSNORTH R COMMUNITYCENTERINNOWAYCONTRIBUTESTOSUCHINJURIES.44T$4T$ @ CAUTION:DONOTSIGNWITHOUTREADING R OAKSNORTHCOMMUNITYCENTER,INC.0  0T$T$H0T$T$HRELEASERT$T$ By:__________________________________0  %T$T$T$________________________________________ R    HONORIABUNNELL,MANAGER    G0  GSIGNATURE 6!      4  `      h     %T$________________________________________ V!#      4  `      h     F  FNAMEPRINTED :"$      4  `      h     'T$MEMBERSHIPNO.________________________ $!& LXX4,X X4,X,0*XLX#=?<#