WAIVER
AND RELEASE OF LIABILITY
In consideration of the risk of injury
while participating in (the "Activity"), and as
consideration for the right to participate in the Activity, I hereby, for
myself, my heirs, executors, administrators, assigns, or personal
representatives, knowingly and voluntarily enter into this waiver and release
of liability and hereby waive any and all rights, claims or causes of action of
any kind whatsoever arising out of my participation in the Activity, and do
hereby release and forever discharge , located at
, , , their affiliates,
managers, members, agents, attorneys, staff, volunteers, heirs,
representatives, predecessors, successors and assigns, for any physical or
psychological injury, including but not limited to illness, paralysis, death,
damages, economical or emotional loss, that I may suffer as a direct result of
my participation in the aforementioned Activity, including traveling to and
from an event related to this Activity.
I
AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM
PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS
ASSOCIATED WITH TRAVELING TO AND FROM AS WELL AS PARTICIPATING IN THIS
ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL
INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT
DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I
UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS'
NEGLIGENCE, CONDITIONS RELATED TO TRAVEL, OR THE CONDITION OF THE ACTIVITY
LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN OR UNKNOWN TO
ME, OF MY PARTICIPATION IN THIS ACTIVITY, INCLUDING TRAVEL TO, FROM AND DURING
THIS ACTIVITY.
I agree to indemnify and hold harmless
against any and all claims, suits or actions of any
kind whatsoever for liability, damages, compensation or otherwise brought by me
or anyone on my behalf, including attorney's fees and any related costs, if
litigation arises pursuant to any claims made by me or by anyone else acting on
my behalf. If incurs any of these types of expenses,
I agree to reimburse .
I acknowledge that and their directors, officers, volunteers, representatives and agents are not
responsible for errors, omissions, acts or failures to act of any party or
entity conducting a specific event or activity on behalf of .
I
ACKNOWLEDGE THAT THIS ACTIVITY MAY INVOLVE A TEST OF A PERSON'S PHYSICAL AND MENTAL
LIMITS AND MAY CARRY WITH IT THE POTENTIAL FOR DEATH, SERIOUS INJURY, AND
PROPERTY LOSS. The
risks may include, but are not limited to, those caused by terrain, facilities,
temperature, weather, lack of hydration, condition of participants, equipment,
vehicular traffic and actions of others, including but not limited to,
participants, volunteers, spectators, coaches, event officials and event
monitors, and/or producers of the event.
I ACKNOWLEDGE THAT I HAVE CAREFULLY
READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF
LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF,
VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM
ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR
WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST
FOR PERSONAL INJURY OR PROPERTY DAMAGE.
To
the extent that statute or case law does not prohibit releases for negligence,
this release is also for negligence on the part of ,
its agents, and employees.
In the event that I should require
medical care or treatment, I agree to be financially responsible for any costs
incurred as a result of such treatment. I am aware and understand that I should
carry my own health insurance.
In the event that any damage to
equipment or facilities occurs as a result of my or my family's willful
actions, neglect or recklessness, I acknowledge and agree to be held liable for
any and all costs associated with any actions of neglect or recklessness.