Original filename: waiverform.pdf
This PDF 1.5 document has been generated by / Skia/PDF, and has been sent on pdf-archive.com on 30/03/2016 at 23:52, from IP address 173.52.x.x.
The current document download page has been viewed 680 times.
File size: 63 KB (1 page).
Privacy: public file
Download original PDF file
waiverform.pdf (PDF, 63 KB)
Share on social networks
Link to this file download page
ALL OUT SPORTS, LLC
In consideration of being allowed to participate in any way in ALL OUT SPORTS LLC , related events and/or
activities, I agree to the following terms and conditions:
1.The inherent risk of injury from the activities involved in participation with clinics, parties, camps, teams
and/or any other sports related activity offered can be significant, including the potential for injury and death.
While particular rules and personal discipline may reduce the risk, the risk of injury does exists and;
2.I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING
FROM THE NEGLIGENCE OF THE RELEASEES, and assume full responsibility for my child who I am the
legal guardian for his/her participation and;
3. Indemnify, hold harmless, release, discharge, and covenant not to sue ALL OUT SPORTS LLC, its
Members, Staff, Advisors, Agents, Sponsors, other participants owners and lessees of the premises used to
conduct these events from any and all liability as to any right of action that may accrue to my heirs or
representatives for any injury to me or loss that may suffer while participating in or associating in any way with
ALL OUT SPORTS whether caused by the negligence of the release or otherwise and;
4. Grant permission to have the participate transported to local doctors, clinics or hospitals in the event of injury
and agree to assume responsibility for all costs, including costs of the collection that may result, including
reasonable attorney fees and;
6. The Undersigned also understands that he/she must maintain continuous individual health insurance in
order to participate in ALL OUT SPORTS, parties , clinics, camps, teams and/or any event offered throughout
the calendar year and;
I have read the above Permission to Participate/Hold Harmless/Informed Consent agreement, understand it’s
meaning and sign it voluntarily. The Permission to Participate/Hold Harmless/Informed Consent is intended to
be as broad and as inclusive as is permitted by the State of New York and if any portion thereof is held invalid,
it is agree that the remaining shall continue in full legal force and effect. I certify that as a parent/guardian with
legal responsibility for this participant, I do consent and agree to his/her release as provided in this document,
and for myself, my heirs, assigns and next of kin. I release and agree to indemnify and hold harmless All OUT
SPORTS, LLC from any and all liability incident to my minor child’s involvement or participation in all related
activities as provided above.
PARTICIPANTS NAME ______________________________AGE_____Grade______ DOB______________
PARENT/GUARDIAN NAME ____________________________________ email________________________
EMERGENCY CONTACT INFORMATION (phone)______________________cell_______________________
SIGNATURE OF PARENT/GUARDIAN____________________________________________
Link to this page
Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..
Use the short link to share your document on Twitter or by text message (SMS)
Copy the following HTML code to share your document on a Website or Blog