Kempton Sports - Registration Waiver

KEMPTON SPORTS, Inc

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK,

AND INDEMNITY AND PARENTAL CONSENT AGREEMENT

 

 

In consideration of the fee paid or permission to participate, Kempton Sports, Inc. agrees to provide to participant baseball/softball and endurance training. In exchange, participant understands that there is a risk of personal injury in the course of instruction and, with this knowledge, agrees to assume the risk of any injury and damages to participant during any such activity

ACKNOWLEDGE, agree, and represent that I understand the nature of Athletic Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.

FULLY UNDERSTAND THAT: (a) ATHLETIC ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS    BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AN DEATH ("RISKS"); (b) these Risks and dangers may be caused by my own actions of inaction’s, the actions or inaction’s of others participating in the Activity, the condition n which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISK AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME  ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.

HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE KEMPTON SPORTS, Inc., their           respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owner and lesser of premises on which the Activity take place, (each considered one of the "RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BECAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim.

 

Participant further agrees to strictly obey instructors and observe safety rules. Participant understands that in case of injury, the only medical treatment Kempton Sports, Inc. will provide is first aid.

I have read and understand this release and agreement and agree to its provisions. I am not under the influence of any drugs, alcohol, or other intoxicants. I am not suffering from any illness or incapacity. I am over 18 years of age. (If not over 18 years of age, parent or guardian must sign.)

 

Please sign below if you understand and agree to the above terms:

Participant’s Name:________________________________________

Participant’s Signature (if over 18):___________________________

Date:___________________________________________________

Parent Signature:________________________________________

Parent Name Printed:_______________________________________

Parent Contact Phone:______________________________________

Parent Email:_____________________________________________ 

 

Please list potential allergies or

medical conditions here:

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