YHC 4th Annual Men’s Volleyball & Women’s Throwball Charity Tournament waiver form
Which sport are you registering for?
AGREEMENT, RELEASE AND WAIVER OF LIABILITY
In consideration of being permitted to participate in or assisting others in participation of the events and activities conducted by YHC (Your Help Counts), on behalf of myself; (1) I ACKNOWLEDGE, UNDERSTAND AND DECLARE THAT (a) To the best of my knowledge, I am in GOOD PHYSICAL CONDITION and have no disease or injury that would be aggravated by participating in activities related to the event/activity; (b) Participating or assisting others in participating in the event/activity may involve RISK OF INJURY TO ME, INCLUDING DEATH, LOSS OR DAMAGE TO ME OR MY PROPERTY, or other consequences, this might result not only from my own actions, inaction or negligence but also the actions, inaction or negligence of others, the rules play, or the conditions of the premises or of any equipment used; (c) There may be OTHER RISKS not known or not reasonably foreseeable; and understanding all of the above; (2) I ASSUME ALL OF THE ABOVE RISKS AND RELEASE WAIVE, DISCHARGE, HOLD HARMLESS, INDEMNIFY AND COVENANT NOT TO SUE: (a) YHC (Your Help Counts), committee members, volunteers, or officials affiliated with their programs; (b) Any affiliated subsidiary, organization, sponsors or related companies or businesses, other participants, municipalities, governmental agencies, agencies, sponsors, or advertisers, the respective administrators, officers, directors, agents, representatives, employees or volunteers of such entities or organizations; (c) Owners, lessors and lessees of premises used to conduct the event/activity FROM ANY AND ALL LIABILITY FOR INJURY, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, and OR ANY OTHER CONSEQUENCE in connection with entry in or arising out of participation in, performance in or lack of performance in, including travel en route to and for the event/activity; (3) I CONSENT TO (a) ALL EMERGENCY MEDICAL TREATMENT as may be deemed appropriate under existing circumstances by medical personnel or personnel associated with the event/activity; (b) Follow all rules and procedures of the event/activity and follow the reasonable instructions of the officers, directors, representatives, agents, and volunteers of YHC; (c) I provide consent to publish the pictures captured during the League games/tournament in the YHC website.
I have read this waiver agreement in its entirety and have provided truthful information
I understand that checking this box constitutes a legal signature and agreement to the terms and conditions
SIGN YOUR NAME IN FULL
PLEASE FILL IN THE DATE
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service