MASTIFF PICNIC WAIVER FORM

GIVEN BY:

_____________________________________________
(Name of dog owner)

TO AND IN FAVOUR OF AKRON YMCA, CAMP Y-NOAH, KIM FISH, JAN MCNAMEE

Name of Dog(s): __________________________________________

MASTIFF PICNIC September 30th, 2007
The person signing this Waiver and Release represents and warrants that he/she has responsibility for the care of the Dog and has the authority to sign this Waiver and Release of Liability.

The undersigned hereby waives all of his/her rights which now exist or which may in the future exist to claim against or take any legal action against the Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee for any injury of any kind to the undersigned or to the Dog or to both, before, during or after the picnic taking place on the above date.

This Waiver and Release of Liability applies to any injury to the undersigned or the Dog no matter how the injury occurs and no matter whose fault it is. This is an absolute Waiver and Release of Liability and the undersigned hereby releases Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee from all claims, demands, actions or causes of action arising out of the agreement with Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee to provide services related to the the picnic or any actions or omissions of Akron YMCA, Kim Fish and Jan McNamee in arranging, organizing or conducting the picnic.

The consideration for this Waiver and Release of Liability is the agreement by Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee to provide services related to the picnic. This Waiver and Release of Liability is binding upon the undersigned and his/her heirs, successors, personal representatives and assigns.

By signing this Waiver of Liability, the person signing acknowledges having read and understood the Rules established by Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee, which govern the picnic.

___________________________________________________
Signature of Dog owner

___________________
Date

GIVEN BY:	_____________________________________________ (Name of dog owner)

TO AND IN FAVOUR OF AKRON YMCA, CAMP Y-NOAH, KIM FISH, JAN MCNAMEE

Name of Dog(s):	__________________________________________

MASTIFF PICNIC September 30th, 2007 The person signing this Waiver and Release represents and warrants that he/she has responsibility for the care of the Dog and has the authority to sign this Waiver and Release of Liability. The undersigned hereby waives all of his/her rights which now exist or which may in the future exist to claim against or take any legal action against the Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee for any injury of any kind to the undersigned or to the Dog or to both, before, during or after the picnic taking place on the above date. This Waiver and Release of Liability applies to any injury to the undersigned or the Dog no matter how the injury occurs and no matter whose fault it is. This is an absolute Waiver and Release of Liability and the undersigned hereby releases Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee from all claims, demands, actions or causes of action arising out of the agreement with Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee to provide services related to the the picnic or any actions or omissions of Akron YMCA, Kim Fish and Jan McNamee in arranging, organizing or conducting the picnic. The consideration for this Waiver and Release of Liability is the agreement by Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee to provide services related to the picnic. This Waiver and Release of Liability is binding upon the undersigned and his/her heirs, successors, personal representatives and assigns. By signing this Waiver of Liability, the person signing acknowledges having read and understood the Rules established by Akron YMCA, Camp Y-Noah, Kim Fish and Jan McNamee, which govern the picnic. ___________________________________________________ Signature of Dog owner ___________________ Date