Lakeview Beach Waiver & Release of Liability Form

Note: This form must be read and signed before the Lakeview Beach Volleyball Player listed below is allowed to take part in any training, competition, practice/warm up sessions, and meeting or testing sessions. 

I Acknowledge that volleyball or any sporting event is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury, or property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING OR OFFICIATING IN A LAKEVIEW BEACH VOLLEYBALL EVENT.

I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns: a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death or personal injury or damages of any kind, which arise out of or relate to my participation in, or my traveling to and from the volleyball event, THE FOLLOWING PERSONS OR ENTITIES: The Lorain Parks & Recreation Department, The City of Lorain, The Lorain Metro Parks, The Tournament Director, Sponsors; and the officers, directors, employees, representatives, and agents of any of the above; b) I AGREE NOT TO SUE any of the persons or entitles mentioned above for any of the claims or liabilities that I have waived, released or discharged herein; and c) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions.

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Participant’s Printed Name                                                    Participant’s Signature                                                 Date Signed

____ I AM UNDER THE AGE OF EIGHTEEN (18) YEARS OF AGE, MY PARENT/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW. (If applicant is under 18 years of age, a parent or guardian must execute, in addition to the foregoing Waiver and Release, the following, for and on behalf of the minor.)

The undersigned, ______________________________ (parent/guardian) the parent and natural guardian of legal guardian of _____________________________ (minor’s name) hereby executes the foregoing Waiver and Release for and on behalf of the minor named herein. I hereby bind myself, the minor and all other assigns to the terms of the Waiver and Release. I represent that I have legal capacity and authority to act for and on behalf of the minor named herein, and I agree to indemnify and hold harmless the persons or entities mentioned above for any claims or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the Waiver and Release.

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Participant’s Printed Name                                                   

________________________________      x ________________________________  _________________

(Parent/Guardian)’s Printed Name                                          (Parent/Guardian)’s Signature                                            Date Signed