General Liability Waiver

I hereby release Community Creative Center and it’s officers, directors, employees, volunteers, insurers and representatives of any liability for any personal injury, property damage, lost items, disability, death, sickness, or disease incurred by myself, my heirs, and any and all legal successors and proxies. I further agree on behalf of myself, and any and all legal successors and proxies to release and DO HEREBY RELEASE, WAIVE, AND COVENANT NOT TO SUE Releasees from any causes of action, claims, suits, liabilities, or demands of any nature whatsoever including, but in no way limited to claims of negligence, which myself and any and all legal successors and proxies may have, now or in the future, against Releasees on account of personal injury, property damage, disability, death, sickness, disease or accident of any kind, arising out of or in any way related to the use of Facilities or participation in Programs, whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to the negligence of Releasees. 

Printed Name: ___________________________________________

Signature: ___________________________________________

Date: _____________________________