Participant Information
Full Name
{{ participant_name }}
Date of Birth
{{ date_of_birth }}
Email Address
{{ participant_email }}
Phone Number
{{ participant_phone }}
Assumption of Risk & Waiver
I, {{ participant_name }}, acknowledge that participation in {{ event_name }} involves inherent risks, including but not limited to physical injury, property damage, disability, or death. I voluntarily assume all risks associated with my participation.
1.
Release of Liability
I hereby release, discharge, and hold harmless {{ organizer_name }}, its officers, directors, employees, agents, volunteers, and sponsors from any and all liability, claims, demands, or causes of action arising from my participation.
2.
Indemnification
I agree to indemnify and hold harmless the released parties from any loss, liability, damage, or cost they may incur as a result of my participation, whether caused by negligence or otherwise.
3.
Medical Authorization
In the event of an emergency, I authorize {{ organizer_name }} to seek and provide medical treatment on my behalf. I understand that I am responsible for all costs of medical care.
4.
Photo & Video Consent
I grant {{ organizer_name }} permission to photograph and/or record my participation for promotional purposes, unless I indicate otherwise in writing.
Emergency Contact
Contact Name
{{ emergency_contact_name }}
Relationship
{{ emergency_contact_relationship }}
Phone
{{ emergency_contact_phone }}
I have read this waiver in its entirety, understand its contents, and sign it voluntarily. I am at least 18 years of age and legally competent to sign this agreement. {% if minor_participant %}A parent or guardian signature is provided below on behalf of the minor participant.{% endif %}
Participant Signature
{{ participant_name }}
Date
{% if minor_participant %}
Parent / Guardian Signature
{{ guardian_name }}
{% else %}
Event Representative
{{ organizer_representative }}
{% endif %}
Date