Waiver of Liability and Release
PLEASE READ THE FOLLOWING CAREFULLY.
If
you have any questions, have them answered before signing this document.
In consideration of being permitted to
participate in Brit’s Pub Vault, I, in full recognition and appreciation of the
dangers and risks inherent in such activities, do hereby waive, release, and
forever discharge Brit’s Pub Vault, Twin Cities Track Club, Flight Deck
Athletics, their officers, sponsors, agents and employees, from and against any
and all claims, demands, action or causes of action for costs, expenses or
damages to personal property or personal injury, or death, which may result
from my participation in these activities. I understand that track and field,
and in particular pole vaulting and many of its related activities are potentially
dangerous and could pose risk of injury.
Should medical attention be necessary, I hereby authorize any physician
or trainer selected by personnel to conduct medical or surgical procedures.
I understand and admit that my
participation in Brit’s Pub Vault is voluntary. I assume full responsibility
for any injuries or damages resulting from my participation in this activity
including responsibility for using reasonable judgment in all phases of
participation of the activity and travel to and from the competition location.
I recognize and understand that the activities may be hazardous, that my
participation is solely at my own risk, and that I assume full responsibility
for any resulting injuries and damages.
I affirm that I am in good health. I
further declare that I am physically fit and capable to participate in such
activities. I acknowledge that it is the recommendation of Brit’s Pub Vault that
I obtain general medical/health insurance if I am not already covered. I
understand that it is my responsibility to notify the appropriate person at the
Pub Vault of emergency medical information. I also understand that this Waiver
of Liability and Release binds my heirs, executors, administrators, and assigns
as well as myself. In addition, I
hereby grant permission of any photographs or videotape of the competition and
related activities for the purpose of advertising or educational materials
development.
I
ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THIS ENTIRE WAIVER OF LIABILITY AND
RELEASE, AND I AGREE TO BE LEGALLY BOUND BY IT.
