DISABLED SPORTS USA INSURANCE WAIVER & RELEASE OF LIABILITY FORM
In consideration of being allowed to participate in any way in Disabled Sports USA and MESA Association of Sports for
Disabled DBA MASD related events and activities, I and/or the minor participant, for myself, and on behalf of my heirs,
assigns, personal representatives and next of kin, the undersigned:
1. Agree that prior to participating, I will inspect, or if a parent and/or legal guardian I will instruct the minor participant to inspect, the
facilities and equipment to be used, and if I believe, to the best of my ability, that anything is unsafe, I and/or the minor participant will
immediately advise Disabled Sports USA and MESA Association of Sports for Disabled DBA MASD of such condition(s) and refuse to
participate.
2. Acknowledge and fully understand that I and/or the minor participant will be engaging in activities that involve risk of serious injury,
including permanent disability and death, and severe social and economic losses which might result only from my own actions,
inactions or negligence of others, the rules of play, or the condition of the premises or any equipment used. Further, that there may be
other risks not known to me or not reasonably foreseeable at this time.
3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
4. Release, waive, discharge and covenant not to sue Disabled Sports USA and MESA Association of Sports for Disabled DBA MASD,
its affiliated clubs, their representative administrators, directors, agents, coaches, other employees, and volunteers of the organization,
other participants, sponsoring agencies, sponsors, advertisers, their heirs, and if applicable, owners and leasers of premises used to
conduct the event, all of which are hereinafter referred to as "releasees", from demands, losses or damages on account of injury,
including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or
otherwise.
5. Acknowledge and fully understand the requirement to use a helmet when participating in the following sports: Alpine skiing, cycling,
equestrian, hockey, outdoor rock climbing, snowboarding, white water kayaking and white water river rafting. While I understand that
helmets are intended to reduce the risk of serious head injury, I accept that no helmet can fully eliminate or prevent injury to the head,
neck, spinal cord, face or any other part of the body. I further recognize that helmets have limited capability as far as shock absorption
and that serious injury or death can result from both low and high-energy impacts, even when a helmet is worn. I agree that if the
helmet is damaged or involved in any kind of accident, I will stop using it immediately.
