Repsol PlaceInformed Consent Waiver
User Group (Team):
Contact Name/Phone #:
Season Date(s):September 1st2016 –March 31st, 2017
Event/Program Venue(s):REPSOL PLACE
By signing below, the participant acknowledges that he/she has read, understands, and agrees to the following provisions.
The participant understands that the event/program and all activities associated therewith involve inherent risk, including but not limited to loss or damage of property, bodily injury, emotional strain, and/or death. Risks and damages may stem from the nature of the activities; the structure/layout of the venue; the behavior of other participants, negligent or otherwise; or any other circumstance surrounding the event/program.
The participant freely and voluntarily assumes these risks, in full awareness of their existence, and declares that he/she is capable in all respects (physical, mental, etc.) of participating safely in the event/program, in light of its minimum required capability thresholds.
The participant agrees to hold harmless the Town of Edson, as well as its employees, representatives, agents, or contractors, for any and all injuries or damages, physical, financial, or otherwise, including losses resulting from injury to third parties, incurred by the participant as a result of his/her involvement in the event/program, and waives any right to sue or otherwise seek compensation from the Town of Edson for these damages. The participant acknowledges that the Town of Edson is not liable or responsible for any such damages or losses in any way, regardless of any real or perceived negligence.
The participant will adhere to all rules, regulations, or policies governing use of the venue, and will defer to and follow the instruction/guidance of Town representatives on these matters. Failure to do so may result in expulsion from the venue and/or the program/event.
Thisagreement is effective and binding upon all heirs, next of kin, executors, administrators, agents, assigns, or any other party acting on the participant’s behalf in a representative capacity.
The participant is legally competent to understand and consent to the terms of this agreement.
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (If under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
Participant Name (Print)Participant SignatureParent/Guardian Signature (if under 18)
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