In consideration of being allowed to participate in any way in the First Annual All-Women's Skate Festival at River Side Skate Park, related events and activities, I_____________________________________________
(please print participant's name)
the undersigned acknowledge, appreciate and agree that:
1. The risk of injury from the activities in this program is significant, including the potential for permanent paralysis and death, & while particular rules, equipment and personal discipline may reduce the risk of serious injury does exist; and,
2. I KNOWINGLY & FREELY ASSUME ALL SUCH RISKS, both know and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, & assumes full responsibility for my participants; and,
3. I willingly agree to comply with the stated & customary terms & conditions for participants. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation & bring such hazard to the attention of the nearest staff member immediately; and,
4. I, for myself & on the behalf of my heirs, assigns, personal representatives & next of kin, HEREBY RELEASE AND HOLD HARMLESS THE FIRST ANNUAL ALL-WOMEN'S SKATE FESTIVAL AND RIVERSIDE SKATE PARK, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, & if applicable owners and lessors of premises used to conduct the event("releases"), WITH RESPECT TO ANY & ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
I have read this release of liability & assumption of risk agreement. I fully understand it's terms, understand that I have given up substantial rights by signing it, & sign it freely and voluntarily without any inducement.
____________________________________________ AGE:_________
DATE:_______________
(Participant's signature only if over 18)
_______________________________________________________________
DATE:_________________________
Parent / Guardian Signature
Address:______________________________________City / State /
Zip________________________________________
WASN Contact and Sponsorship Information:
KATE GENGO - wasup@erols.com
- 718.782.9175
WASN Office:
69 S 4TH STREET 1ST FLOOR - BROOKLYN, NY 11211
XTREME CENTRAL -
973.359.9968 -
WWW.XTREMECENTRAL.COM
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