Community Release Form:
AGREEMENT ASSUMING RISK OF
INJURY, WAVING DAMAGES, AND RELEASING FROM LIABILITY AND HOLDING HARMLESS THE
COUNTY OF SAN BERNARDINO, AND ALL OF THEIR OFFICERS, AGENTS, AND EMPLOYEES.
WHEREAS,
the undersigned understands and acknowledges that participation in today’s
event may involve possible risk of physical injury and/or death, as well as,
property damage and expense,
NOW,
THEREFORE, in consideration of the Office of Supervisor Joe Baca, Jr. extending
to me the opportunity to participate in this event, I the undersigned, hereby
agree to release and hold harmless the County of San Bernardino and their
officers, agents, and employees, from any and all liability and claims for any
harm or loss that I may suffer during my participation in the event, so that
each of them shall not be held liable or responsible under any circumstances
whatsoever by me, my estate, or my heirs for any injury, damage, or loss to my
person or property sustained or incurred while participating in said event.
I release the County of San Bernardino from any potential or actual injury or
death I may incur while participating the event.
In addition, I agree and grant all
rights for photography and television coverage or taping of this event for
publicity, advertising or other use. I agree to abide by the tournament rules
as instructed by the officials.
I certify that I am in good health, and
am not under the influence of drugs or alcohol.