Phone: (970) 532-2582 247 Mountain Ave., Berthoud, CO 80513
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I hereby waive for myself, my heirs, my child, my executors and administrators forever, all claims for damages against Berthoud Athletic Club (BAC), its officers, directors, shareholders, or agents from, or in any way connected with, any and all injuries which may be suffered on or incurred while participating in activities, whether or not authorized by BAC, or by utilizing any of the facilities at its athletic club, or its premises. This waiver shall be applicable even if my injuries arise from the negligence of BAC, its officers, directors, shareholders, employees or agents.