PDF-2018 Adult Release and Waiver of Liability

Form C Diocese of Lubbock andor Parish ofOffice of Youth Ministry Release of Liability and Medical Release Form Adult Participants NameParish Daytime Phone NumberAddressCity State Zip I agree. BY SIGNING YOU GIVE UP YOUR RIGHT TO RECOVER ANY COMPENSATION FOR ANY PERSONAL INJURIES DAMAGE TO YOUR PROPERTY OR FOR YOUR DEATH ARISING OUT OF YOUR USE OF VERTICAL 19256573595734715736157526657359573475734718657347573472573477657347686565734757355 I also agree that if I or anyone makes any claims because of any injury to me (including death), or for any damage to my horse or other property, I will fully indemnify and hold harmless all those rel Page 2 of 2 I also agree that if I make or anyone makes any claims because of any injury to my child (including death), or for any damage to my horse or other property, I will fully indemnify and hol Rowdy Race Relay Waiver of Liability RELEASE AND WAIVER: I know that participating in a “Rowdy Race Relay” competition event is a potentially hazardous activity. I know that I should no rev . Oct. 2014 1 TO RONTO 2015 TORCH RELAY IMPORTANT: THIS IS A LEGAL COMMITMENT; READ IN FULL AND UNDERSTAND BEFORE AGREEING TO, AND ACCEPTING, THE TERMS TORCHBEARER NAME: ____________________ SAN DIEGO VELODROME ASSOCIATION (SDVA) In consideration for being permitted access to and use of the San Diego Velodrome (Velodrome) facilities, or in connection with participation in any bicycling I know that the activities available at LaZerCity are inherently dangerous activities in which I choose to voluntarily participate at my own risk. I also understand that these risks, hazards and dange 2083113.1 RELEASE OF LIABILITY, WAIVER OF CLAIMS ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT. BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE PLEASE READ CARE substantialreleaseconclusivelycoveredaction,action,RECORDINGSJill ACCIDENT WAIVER AND RELEASE OF LIABILITY FORMI HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS ESCAPE ROOM VERO BEACH LLC EVENT, including by way of example Birth Date / Age Home Address City State ZIP Phone cPlease use credit card on file to process 50 payment and future monthly drafts for Masters program cDate ReceivedApplicants PIDSwim Team swi Pcog aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaDitvj Fcvg aaaaaa/aaaaaa aaaaaaaaaa Cig aaaaaaaHoog Cfftguu Civy aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Svcvg aaaaaaaa IR aaaaaaaaYOTC Ocuvgtu cv YO WAIVERCONSENT INDEMNITY AGREEMENTIn consideration of myself being an Adult 18 or older in age or being the legal guardian of the below named Minorwho is under 18 years of age being allowed to partici substantialreleaseconclusivelycoveredactionactionRECORDINGSJillsmanagersemployeesownersotherfurtherdistributeadvertisementswebJaxearisingFIRST AND LAST NAME PRINTED WITNESS