To participate in TJ Youth Wrestling activities, all wrestlers must have a completed liability waiver on file with the organization. Please print the waiver included below and return it to a coach.
| TJ YOUTH WRESTLING Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement With Parental ConsentIn consideration of being permitted to participate in any way in the TJ YOUTH WRESTLING, classes, tournaments, trips, or any other activities associated with TJ Youth Wrestling,(“Activity”), including travel to and from the Activities, I, for myself, my personal representatives, assigns, heirs and next of kin:1. I acknowledge, agree and represent that I understand the nature of the Activity and that I, or the minor, is qualified, in good health and in proper physical condition to participate in the Activity. I further agree and warrant that if, at any time, I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity by myself or the minor.2. I fully understand that: (a) THIS ACTIVITY INVOLVES RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“Risks”); (b) these Risks and dangers may be caused by my own (or the minor’s) actions and inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; (c) there may be other risks or SOCIAL AND ECONOMIC LOSSES either known to me or the minor 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 or the minor incur as a result of my (or the minor’s) participation in the Activity. 3. I hereby RELEASE, DISCHARGE AND COVENANT NOT TO SUE, TJ YOUTH WRESTLING, their administrators, directors, agents, officers, members, volunteers, and employees, other participants, officials, and rescue personnel, owners and lessees of the premises on which the Activity is conducted, (each of the foregoing shall be considered one of the RELEASEES herein) FROM ANY AND ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY OR THE MINOR’S ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES, ANY OTHER PERSON OR OTHERWISE INCLUDING NEGLIGENT RESCUE OPERATIONS. 4. If despite this Release, I, the Minor, or anyone on the Minor’s behalf, makes a claim against any of the RELEASEES named above, I AGREE TO DEFEND, INDEMNIFY AND SAVE AND HOLD HARMLESS THE RELEASEES and each of them from ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS, LIABILITY DAMAGE, OR COST THEY MAY INCUR DUE TO THE CLAIM MADE AGAINST ANY OF THE RELEASEES NAMED ABOVE WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. I ACKNOWLEDGE THAT I AM OVER THE AGE OF 18 YEARS, HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ANY AND ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY 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. If under the age of 18, I have reviewed this form with my Parent/Guardian who signed below. Printed Name of Participant: _____________________________________________________________________ DATE: ___________________________ Participant’s Signature:___________________________________________________________________________ Parent/Guardian Signature (if participant under age of 18):_____________________________________ MINOR RELEASE – BELOW SECTION MUST BE COMPLETED FOR ANY PARTICIPANT UNDER THE AGE OF 18 5. AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, HAVE READ PARAGRAPHS 1-4 ABOVE AND UNDERSTAND THE NATURE OF THE ACTIVITY, AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS LOSSES, DAMAGES ON THE MINOR’S ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS. 6. FURTHER, IF EMERGENCY MEDICAL/DENTAL ATTENTION IS NEEDED BY THE MINOR DURING OR RESULTING FROM SUCH ACTIVITIES, I AUTHORIZE THE COACH OR AUTHORITY IN CHARGE TO AUTHORIZE ANY EMERGENCY MEDICAL TECHNICIAN, LICENSED PHYSICIAN OR OTHER MEDICAL PROFESSIONAL TO ADMINISTER SUCH EMERGENCY MEDICAL/DENTAL ATTENTION. I UNDERSTAND THAT THIS REQUEST FOR EMERGENCY MEDICAL/DENTAL ADMINISTRATION INCLUDES ANY CLAIMS BASED ON THE NEGLIGENCE, ACTION OR INACTION OF THE RELEASEES. I ACCEPT FULL RESPONSIBILITY FOR THE COST OF TREATMENT FOR ANY INJURY, LOSSES, DAMAGES OR DEATH SUFFERED BY MYSELF OR MY CHILD WHILE TAKING PART IN THE ACTIVITY. 7. I HEREBY GIVE PERMISSION FOR VIDEO AND PHOTOGRAPHIC IMAGES OF THE MINOR, TAKEN DURING ACTIVITIES, TO BE USED FOR THE PURPOSES OF PROMOTING TJ YOUTH WRESTLING. Printed Name of Parent: __________________________________________________________________________ DATE: _____________________________ Parent/Guardian Signature (if participant under age of 18):_____________________________________ |