Willow Valley RV Resort Pool Membership Form

Willow Valley RV Resort Pool Membership Form

  • ACKNOWLEDGMENT OF RISKS: I UNDERSTAND AND ACKNOWLEDGE that the pool, facilities and property usage that I (all references to I, me, myself or my, refer to my minor child if I am signing on behalf of my minor child, and to any guests that I invite whether or not they also sign an Agreement) am about to voluntarily engage in bears certain anticipated and unanticipated risks that could result in INJURY, DEATH, ILLNESS OR DISEASE, PHYSICAL OR MENTAL DAMAGE to myself, to my property or to other parties or their property. These risks include but are in no way limited to the following:

    The risks that are inherent in the activities in and use of pools, facilities & property.

    The acts or omissions or negligence in any degree of Willow Valley RV Resort (WVRR), its officers and Board Members, or any of its owners, partners, agents, or employees (collectively the “Released Parties”).

    Latent or apparent defects or conditions in equipment or property supplied by WVRR Pool or other persons or entities.

    My own physical condition and skill level or my own acts or omissions.

    The condition of the pool, facilities or property, and accidents connected with their use.

    The absence of lifeguards; I and my family will swim at our own risk.

    Consumption of any food or drink, whether or not provided by WVRR Pool or others, and untreated water from the environment.

    I UNDERSTAND AND ACKNOWLEDGE that the above list is not complete or exhaustive, and the other risks, known or unknown, identified, or unidentified, anticipated or unanticipated may also result in injury, death, illness, disease, or damage to myself or to my property or to other parties and their property.

    ACCEPTANCE OF RISK AND RESPONSIBILITY: I VOLUNTARILY AGREE, COVENANT, AND PROMISE TO ACCEPT AND ASSUME ALL RESPONSIBILITIES AND RISK FOR INJURY, DEATH, ILLNESS, OR DISEASE to myself or to my property or other parties and their property arising from my participation in the Participation Activities. My participation in the Participation Activities is purely voluntary; no one is forcing me to participate in spite of the risks.

    MEDICAL CARE, PARTICIPANT INSURANCE BENEFITS AND REPRESENTATION OF PHYSICAL CONDITIONS: I UNDERSTAND AND ACKNOWLEDGE that no major medical or accident insurance benefits will be provided to me during participation or viewing of the Participation Activities. I certify that I have sufficient health, accident, and personal liability insurance to cover any bodily injury or property damage that I may incur while participating in the Participation Activities, and to cover bodily injury or property damage caused to another party as a result of my participation in the Participation Activities. If I have no such insurance, I certify that I am capable of personally paying for any and all such expenses or liability. I FURTHER ACKNOWLEDGE that I am in good physical and mental health, and not suffering from any condition, disease or disablement, which would or could potentially affect participation in the Participation Activities. I give my consent and permission to WVRR Pool and medical personnel to obtain or administer on my behalf or on behalf of my minor child, first aid and emergency medical treatment in case of sickness, accident, injury and to secure medical care at my expense and to make decisions concerning medical care if I am unable to do so or if in the case of my minor child, I am unable to be reached. I give consent for drug testing to be performed in the event of any accident or during the course of any medical care or treatment for myself or my minor child.

    RELEASE: I voluntarily release and forever discharge and covenant not to sue WVRR and/or WVRR Pool, from or for any and all liability, claims, demands, actions, or rights of action, that are related to, arise out of, or are in any way connected with my participation in the Participation Activities, including but not specifically limited to any and all negligence, fault, or strict liability of WVRR Pool for any and all injury, death, illness, or disease, and damage to myself or to my property.

    HOLD HARMLESS & INDEMNIFICATION: I further agree, promise, and covenant to hold harmless and to indemnify WVRR Pool from all liability, claims, demands, actions, or rights of action, damages, defense costs, including attorney’s fees, or from any other costs incurred in connection with claims for bodily injury or property damage that I may negligently or intentionally cause to other parties in the course of my participation in the Participation Activities.

    COVENANT NOT TO SUE: I further agree, promise and covenant not to use, assert, or otherwise maintain any claim against WVRR and/or WVRR Pool for any injury, death, illness and disease, or damage to myself or to my property, a rising from or connected with my participation in this activity OR from any claims asserted against me by other parties. In signing this release, I fully recognize that if anyone is hurt or dies, or property is damaged while I am participating in a Participation Activity, I will have no right to make a claim or file a lawsuit against WVRR and/or WVRR Pool even if WVRR and/or WVRR Pool negligently caused the bodily injury or property damage. This agreement shall be binding on the heirs, legal representatives, executors, and administrators of the participant and is for the benefit of WVRR and/or WVRR Pool, its successors and assigns.

    I understand and acknowledge that by giving up certain rights and/or possible claims that I might otherwise assert or maintain against WVRR and/or WVRR Pool, by signing this contract, I HAVE ASSUMED RESPONSIBILITY AND LEGAL LIABILITY for the claims or other legal demands, including defense costs, which may be asserted by me or by other parties against me as a result of my participation in the Participation Activities.

    Each of the undersigned individuals wants to use the WVRR pool, facilities or property, and is doing so entirely upon his or her initiative, risk, and responsibility. Furthermore, he or she is fully aware of the risks inherent upon the use of said pool, facilities or property. Therefore, in consideration of the agreement of WVRR Pool to allow use of its pool, facilities and property on these terms and conditions, whether with or without charge, each of the undersigned hereby agrees to all of the foregoing releases, waivers, discharges, and covenants not to sue.

    ENTIRE AGREEMENT: I understand that this is the entire agreement between WVRR/WVRR Pool and me, that it is for the benefit of WVRR and WVRR Pool, and that it cannot be modified or changed in any way by the representations or statements of any employee, agent, or member of WVRR and/or WVRR Pool, or by me. I am at least 18 years of age, of sound mind, and not under the influence of any drugs or alcohol at the time of reading and signing this agreement. I agree to follow any and all instructions, rules, regulations, and policy of WVRR Pool. I am in good health, suffering from no physical disabilities that might impair my capabilities.

    AFFIDAVIT OF PARENTAL OR LEGAL GUARDIANSHIP: I, the undersigned, declare that I am the parent of, or the legal guardian of, the minor participant named herein, and have the legal capacity to execute documents on behalf of such minor. I understand that no minor can participate unless and until his or her parent or legal guardian signs this agreement, and I am signing this agreement freely, without any fraud or duress, and acknowledge that I have read and understand it.

    In the event that I am determined not to be the parent or legal guardian of the minor, or that I did not have legal capacity to execute this agreement on the minor’s behalf, then I agree to defend and indemnify WVRR and WVRR Pool, and all of its agents, owners, employees, sponsors, partners, officers, and/or Board of Trustees on all the same terms and conditions as stated herein, if any claim is made or any litigation instituted as a result of any injury, death, or claim for damage arising out of, or relating to, or in any way connected with, the minor’s participation in pool, facilities or property activities.
    By clicking the box below you confirm that you understand and agree to the terms and conditions of the WVRR Pool Membership Agreement.
  • Pool participants must engage in pool activities in a safe manner at all times. Participants must obey the posted safety instructions.
  • THERE IS NO LIFEGUARD ON DUTY AT THE WILLOW VALLEY RV RESORT (WVRR) POOL. ALL SWIMMERS SHALL SWIM AT THEIR OWN RISK.
  • Swimming is prohibited once the pool is closed. Pool hours are posted at the pool and are subject to change.
  • Diving is permitted only in areas that are 5 feet or deeper (follow signs painted on the pool deck).
  • No alcohol, smoking, or illegal drugs are allowed on the WVRR Pool premises at any time (including the parking lot). Individuals under the influence of alcohol or drugs are not allowed in the pool area at any time.
  • No weapons are allowed on the WVRR Pool premises.
  • The WVRR Pool reserves the right to limit the number of people in the pool at any one time.
  • An adult must supervise any swimmer who is under the age of 18 and no adult should swim alone.
  • All infants must wear swim diapers.
  • THE POOL GATE REMAINS LOCKED AT ALL TIMES. Members will not lend their gate key/code, nor will they unlock the pool gate for those without a key, nor will they prop the gate open during their time at the pool.
  • Everyone must leave the pool deck when thunder is heard. No one should be in or near the pool for 30 minutes after thunder is heard or seen.
  • Everyone under the age of 16 must leave the pool (including the steps) during “adult swim,” which will be posted by the pool.
  • Food and drink must be kept 10 feet from the pool at all times. No glass is permitted on the pool deck. Only plastic & metal containers are allowed.
  • 14. Clean up after yourself & your guests. Trash cans are located around the pool deck.
  • Adults are responsible for children when they accompany them to the pool. Again, all children under the age of 18 must be accompanied by an adult at all times.
  • Members may bring up to 5 guests per visit, or one family, whichever is greater. Members are responsible for guests and must accompany them for the entire stay. Guests are subject to the hold harmless and indemnification releases, whether or not they have signed them.
  • More than 5 guests or a family must be pre-approved by the Pool Manager. Pool Manager and lifeguards have the right to refuse large groups of guests for safety reasons. Scheduled parties are available for large groups.
  • Do not enter the pool office without permission. The pool phone number is for emergencies only.
  • Please limit showers to 2 minutes/shower.
  • No persons with skin, eye, ear or nasal infection allowed in the pool at any time.
  • No person with communicable disease is allowed in the pool at any time.
  • No animals or pets are allowed in the pool at any time and no animals or pets allowed on the pool deck at any time unless required under municipal, state or federal law.
  • WVRR reserves the right to terminate any membership and remove anyone from WVRR Pool for any reason.
    I am aware of the Pool Rules, and understand that the above list is not complete or exhaustive and that other rules may apply, and I agree to conduct myself according to all rules and general standards of good conduct.
  • 1. Pool participants must engage in pool activities in a safe manner at all times. Participants must obey the posted safety instructions.
    2. Wrestling, running, dunking, throwing people into the pool & “chicken fighting” are not allowed. Fighting, aggressive or disruptive behavior will result in ejection from the WVRR Pool premises.
    3. If a swimmer does not follow the rules, a WVRR Staff Member will give them a verbal reminder of the rule and ask them to change their behavior.
    4. If a swimmer continues to not follow the rules (the same rule or a different rule), the WVRR Staff Member will give them a second warning.
    5. After the second warning for failing to follow any rule, the swimmer will be made to leave the pool.
    6. Any swimmer who is a minor children and who is ejected from the pool two (2) times will have their privilege of going to the pool revoked for at least one (1) month up to one (1) year, depending upon the gravity of the situation.
    7. An adult swimmer who is ejected from the pool will have to speak to the pool manager, and possibly the WVRR owners, before being allowed to enter the pool again.
    8. WVRR reserves the right to terminate any membership and remove anyone from the WVRR Pool for any reason.
    I understand that no lifeguard will be on duty at the Willow Valley RV Resort Pool at any time, that all people under the age of 18 must be accompanied by a parent or ad adult, and that solo swimming is prohibited at all times.
    I understand that we are responsible for securing our pool key/code, that the key/code cannot be shared, and that the door shall remain locked at all times.
    I agree to stay away from the pool if I or any of my members display any symptoms of COVID-19
  • You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.