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Southeast sportsplex Waiver

Participant Waiver & Registration Form

(Minor Under 18)

The following form is meant only for participants under the age of 18. For older participants, please navigate to the Adult 18+ form

Participant Information

Participant Date of birth
Month
Day
Year
Multi-line address

Parent / Guardian Information

Multi-line address

Hold Harmless Release Form

In consideration of being allowed to enter into and use the Southeast Sportsplex facility, and to participate in any of the Southeast Sportsplex programs, related events and activities, the undersigned acknowledges, appreciates and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4. I further acknowledge and agree that in choosing to enter into and use the Southeast Sportsplex facility, and engage in the activities, I recognize and

accept that because the Southeast Sportsplex facility is open for use by many other individuals, I am at a higher risk of exposure to and/or contracting

COVID-19 or other diseases such as influenza or Legionnaires Disease; and,

5. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, and assume full responsibility for all such risks; and,

6. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Southeast Sportsplex LLC.. and any or all affiliated or subsidiary entities, their officers, officials, agents, and/or

employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the

event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property; and,

7. In the event that a claim is brought by Participant or Releasee against the other, the defendant shall be able to recover reasonable attorneys’ fees if incurred in successfully defending against such claim.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

I also understand that Southeast Sportsplex regularly takes pictures/videos during programs that are used for promotional purposes and give permission to Southeast Sportsplex to use these pictures/videos without compensation.

Today's Date
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