Adult Generic Waiver

Revision as of 16:56, 1 December 2008

(REALM NAME) MEDIEVAL RE-CREATION SOCIETY
located in (REALM CITY)
WAIVER AND RELEASE

In consideration of receiving permission from (REALM NAME) Medieval Re-creation Society to participate as a member of the (REALM NAME) and to participate in any activity, event, tournament, contest or meeting that (REALM NAME) participates, sponsors, attends, or supervises, the Undersigned releases (REALM NAME), the (PLACE YOU FIGHT), the owner of any premises where any (REALM NAME) activity, event, tournament, contest or meeting occurs, and any other member of the (REALM NAME), individually, from any and all liability, claims, demands, actions, and causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned, while participating in any activity, event, tournament, contest or meeting that Belegarth (REALM NAME) participates, sponsors, attends or supervises.

The Undersigned being duly aware of the risks and hazards inherent upon participating in any activity, event, tournament, contest or meeting of the (REALM NAME), elects voluntarily to participate, knowing that participation requires physical contact by others to the person of the Undersigned and knowing that such participation may become hazardous and dangerous during the time that the Undersigned voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned while participating in any activity, event, tournament, contest, or meeting that the (REALM NAME) participates, sponsors, attends or supervises.

This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned.

In signing the foregoing release, the Undersigned acknowledges and represents:

1. That he or she has read the above release, understands it, and signs voluntarily;
2. That he or she is over 18 years of age and of sound mind;
3. Undersigned represents that he or she has no physical or mental defects known to the Undersigned and unknown to the appropriate representative of the (REALM NAME) that would endanger or harm the Undersigned while participating in any activity, event, tournament, contest or meeting that the (REALM NAME) participates, sponsors, attends, or supervises.

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Undersigned (Sign name here)                   Undersigned (Print name here)
 

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Address                                        City, State, and Zip
 

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Phone                                          E-Mail  
 

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Name of person to contact in emergency         Emergency phone number