amateur athletic waiver and release of liability - hoodoo · pdf file ·...
TRANSCRIPT
AmateurAthletic
WaiverandReleaseofLiability
InconsiderationofbeingallowedtoparticipateinanywayintheHoodooAdventureCompanyathleticsportsprogram,relatedeventsandactivities,theundersignedacknowledges,appreciatesandagreesthat:
1. Theriskofinjuryfromtheactivitiesinvolvedinthisprogramissignificant,includingthepotentialforpermanentparalysisanddeath,andwhileparticularrules,equipmentandpersonaldisciplinemayreducethisrisk,theriskofseriousinjurydoesexist;and,
2. IKNOWINGLYANDFREELYASSUMEALLSUCHRISKS,bothknownandunknown,EVENIFARISINGFROMTHENEGLIGENCEOFTHERELEASESorothers,andassumefullresponsibilityformyparticipation;and,
3. Iwillinglyagreetocomplywiththestatedandcustomarytermsandconditionsforparticipation.IfhoweverIobserveanyunusualsignificanthazardduringmypresenceorparticipation,Iwillremovemyselffromparticipationandbringsuchtotheattentionofthenearestofficialimmediately;and,
4. Iformyselfandonthebehalfofmyheirs,assigns,personalrepresentativesandnextofkin,HEREBYRELEASEANDHOLDHARMLESSHoodooAdventureCompany,theirofficers,officials,agentsand/oremployees,otherparticipants,sponsoringagencies,sponsors,advertisers,and,ifapplicable,ownersandlessorsofpremisesusedtoconducttheevent(“Releasees”),WITHRESPECTTOANYANDALLINJURY,DISABILITY,DEATH,orlossordamagetopersonorproperty,WHETHERCAUSEDBYNEGLLIGENCEOFTHERELEASEESOROTHERWISE.
IHAVEREADTHISRELEASEOFLIABILTYANDASSUMPTIONOFRISKAGREEMENT,FULLYUNDERSTANDITSTERMS,UNDERSTANDTHATIHAVEGIVENUPSUBSTANTIALRIGHTBYSIGNINGIT,ANDSIGNITFREELYANDVOLUNTARILYWITHOUTANYINDUCEMENT.X ParticipantsSignaturePrintName Address Phone:#X WitnessPrintNameDateSigned:
EmergencyContact EmergencyContactRelationshipPhone:#
IagreetoreadandabidebytheHoodooAdventure’sClimbingGymRulesandSafetyPolicies,ondisplayatfrontdeskandontheclimbingwall.Initial:X_____
FORPARTICIPANTSUNDERTHEAGEOFMINORITY(UNDERAGEOF18ATTIMEOFREGISTRATION)ThisistocertifythatI,asaparent/guardianwithlegalresponsibilityforthisparticipant,doconsentandagreetohis/herreleaseasprovidedaboveofalltheReleasees,and,formyself,myheirs,assigns,andnextofkin,IreleaseandagreetoindemnifytheReleaseesfromanyandallliabilitiesincidenttomyminorchild’sinvolvementorparticipationintheseprogramsasprovidedabove.X Parent/Guardian’sSignaturePrintNameX WitnessPrintName