RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT
IN CONSIDERATION of being permitted to participate in the activities and events of Axiom in Motion LLC, I, for myself, and for my personal representatives, assigns, heirs, and next of kin:

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Optional Photography and Video Release
First Name of Participant *
Last Name of Participant *
Name of Parent/Legal Guardian (MINOR ONLY)
Address *
Emergency Phone Number *
Email *
SIGNATURE
By my typed name below, I affirm that I have read this agreement, fully understand its terms, and have completed it freely and without inducement of assurance of any nature, and intend it to be a complete and unconditional release of liability to the greatest extent allowed by the law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect. Wisconsin law shall apply to this agreement.
Full Name *
AGREEMENT FOR MINOR PARTICIPANTS ONLY
The signatory­-minor’s parent or legal guardian by evidence of signature above, understand the nature of activities and events of Axiom In Motion LLC and also understand the Minor’s experience and capabilities and understand that the Minor is in good health, and in proper physical condition, to participate in Axiom In Motion LLC activities and events.
A parent/Legal Guardian, the checkbox below, agrees on behalf of the Minor and himself/herself to the terms of the release set forth hereinabove.
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