|
Put-In-Bay and Release of Liability Form Note: This form must be read and signed before the Put-In-Bay Grass Volleyball Player, Staff and any personnel, listed below is allowed to take part in any set-up, training, competition, practice/warm up sessions, and meeting or testing sessions. If you need this document in Spanish, French, Italian, Japanese or Russian, you may request a copy from our Tournament Directors.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 WORKING / PARTICIPATING OR OFFICIATING IN A PUT-IN-BAY GRASS 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 this volleyball event, THE FOLLOWING PERSONS OR ENTITIES: The City of Put-In-Bay, The Mayor of Put-In-Bay, any Property Owners & Family along with any Business's associated in the use or renting of property, The Tournament Director(s), 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. BY SIGNING THIS FORM, I AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT, AND I UNDERSTAND IT CONTENTS.
ALL "Under Aged" Players Must individually print this form and signed & presented with team waiver. ____ 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.
--------------------------------------------------- TEAM WAIVER: All written above applies to ------------------------------------------------every individual that signs this waiver
Captain / ________________________________ x________________________________ ______________ Player #1 Captain / Player # 1 Printed Name Participant’s Signature Date Signed Participant / __________________________________ x________________________________ ______________ Player #2 Participant/Player # 2 Printed Name Participant’s Signature Date Signed Participant / __________________________________ x________________________________ ______________ Player #3 Participant/Player # 3 Printed Name Participant’s Signature Date Signed Participant / __________________________________ x________________________________ ______________ Player #4 Participant/Player # 4 Printed Name Participant’s Signature Date Signed Participant / __________________________________ x________________________________ ______________ Player #5 Participant/Player # 5 Printed Name Participant’s Signature Date Signed Participant / __________________________________ x________________________________ ______________ Player #6 Participant/Player # 6 Printed Name Participant’s Signature Date Signed Participant / __________________________________ x________________________________ ______________ Player #7 Participant/Player # 7 Printed Name Participant’s Signature Date Signed Participant / __________________________________ x________________________________ ______________ Player #8 Participant/Player # 8 Printed Name Participant’s Signature Date Signed |