(636)272-4554

51 Elaine Dr
O'Fallon, MO 63366

 

Injury Waiver Form

All Warehouse Courts participants (including coaching staff) must have a signed Injury Waiver Form on file to be permitted to use the facility. There are no exceptions to this policy. We are no longer accepting paper version of the injury waiver form. If you have filled out a paper version in a prior year, you may be asked to fill out the online version again. A Warehouse Courts employee will verify your name and corresponding waiver prior to each visit to our facility.

 
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PARENT / GUARDIAN / OVER 18 CONTACT INFORMATION
* Indicates Response Required









e.g. St. Louis Hawks 13U, ICD Basketball, Ben Farley birthday party
INJURY WAIVER AGREEMENT

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In consideration of the services of Warehouse Courts, LLC, their agents, owners, officers, affiliates, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “Warehouse Courts”), I hereby agree to release, indemnify, and discharge Warehouse Courts, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows: 

1. I acknowledge that my participation in a Warehouse Courts activity (soccer, futsol, volleyball, basketball) comes with a risk. I understand the risks and dangers involved in sports recreation and playing for a team are severe and could result in, without limitation, personal injury, loss of life, and property damage to the athlete’s personal equipment. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. 

The risks include, among other things: Recreational sports have certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. Risks include the negligence of other participants or myself, injuries including floor burn, sprains, fractures, scrapes, bruises and cuts, dislocations, and serious injuries to the head, back, or neck which can cause paralysis, or even death. Diving for loose balls in basketball, and digging balls in volleyball can result in multiple players falling on each other resulting serious injury. Leaving your feet to make a play in basketball, volleyball, and soccer can result in a wide range of injuries. Warehouse Courts employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant’s health or abilities. They may give incomplete warnings or instructions, and the equipment being used might malfunction. 

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. 

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Warehouse Courts from any and all claims, demands, or causes of action, which are in any way connected with my participation in Warehouse Courts activities or my use of Warehouse Courts’ equipment or facilities including any such claims which allege negligent acts or omissions of Warehouse Courts

4. Should Warehouse Courts or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. 

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

In the event that I file a lawsuit against Warehouse Courts, I agree to do so solely in the state of Missouri, and I further agree that the substantive law of Missouri shall apply that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. 

6. I understand that refunds will not be given for any reason. Warehouse Courts reserves the right to eject, suspend or release any participant without refund for any action that is deemed by Warehouse Courts, its owners or employees to be harmful, unsafe or in any way disruptive or destructive to Warehouse Courts. 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Warehouse Courts on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

I further grant Warehouse Courts the right to photograph, videotape, and/or record me and/or my child/ward and to use my or my child’s/wards’ name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, and promotional materials without reservation or limitation. I would like to receive free email promotions and discounts to the email address provided above. I may unsubscribe to emails from Warehouse Courts at any time. 



MINOR (Under 18) PARTICIPANTS

PARENT'S OR LEGAL GUARDIAN ADDITIONAL INDEMNIFICATION (Must be completed for participants under the age of 18). This is to certify that I, as parent or legal guardian with legal responsibility for the below said participants, do hereby consent to allow the following "Minor(s)" to participate in its activities and to use its equipment and facilities of WAREHOUSE COURTS and further agree to indemnify and hold harmless WAREHOUSE COURTS from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor (input up to four minor's names / birthdates below of the SAME parent or legal guardian):

First Name
Last Name
Birthdate (MM/DD/YY)
* Parent or Legal Guardian Signature: USE COMPUTER MOUSE to sign this form