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  • 815 South Utica Avenue, Tulsa, OK 74104
  • 918.584.8607
  • 815 South Utica Avenue, Tulsa, OK
  • 918.584.8607
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As a non-member participant at The Center for Individuals with Physical Challenges [“The Center”], each person for himself, his heirs, assigns, spouse, minor children and personal representatives specifically assumes any risk inherent in any activity actually existing on or about the premises used by The Center. The Center staff, volunteers, Board of Directors and its officers assume no liability whatsoever for any accident or injury whether personal or otherwise arising from operation of The Center or conduct of or for The Center.

Each non-member participant agrees specifically for himself, his heirs, assigns, spouse, minor children and personal representatives to hold harmless The Center staff, volunteers, Board of Directors and its officers and its officers for any and all Center activities, equipment or Center-used premises.

Further, I accept full responsibility for informing The Center staff, in advance, of my participation limitations they need to be aware in reference to my involvement.

  • I agree to be governed by The Center’s bylaws, rules and regulations, including the above “hold harmless clause.” I have read this agreement and waiver and am fully familiar with its contents.
  • I hereby release The Center from any and all liability resulting from my use of the facility and assume all risks in connection therewith including known and unknown risks.
If no, a parent or legal guardian signature is required.
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