First Name ____________________ Last Name: _______________________________
READ THIS DOCUMENT CAREFULLY BEFORE SIGNING. THIS DOCUMENT HAS LEGAL CONSEQUENCES AND WILL AFFECT YOUR LEGAL RIGHTS AND MAY ELIMINATE YOUR ABILITY TO BRING FUTURE LEGAL ACTIONS.
ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY
This Assumption of Risk, Release and Waiver of Liability Agreement (the “Agreement”) is between
Woodruff Electric Inc., Creekworks Ltd., and the Town of Cardston and _________________________, (the “Participant”), and is made this ___ day of ________________, 2017.
Rules: Participant agrees to become familiar with and abide by all the written and posted rules that Woodruff Electric Inc., Creekworks Ltd., and the Town of Cardston has in relation to this Event. Participant agrees to comply with all directions, instructions and decisions in relation to the Event. Participant further agrees that Event personnel have the right to immediately remove anyone from the course who disobeys the rules, directions, instructions, decisions, or whose behavior endangers safety or negatively affects a person, facility, or property or any type or kind.
Specific Rules: Participant agrees to abide by the following rules: 1) no urinations or defecations is permitted outside of designated at the Event 2) no wheeled conveyances or pets are allowed in the Event 3) no clothing, props or equipment that pose an unnecessary risk to other participants 4) Participant will obey all civil and criminal laws, including traffic laws while participating in the event.
Emergency Delay or Cancellation: Participant agrees that Woodruff Electric Inc. and Creekworks Ltd., at their sole discretion, may delay, modify or cancel the Event if conditions or natural or man-made emergencies may cause administering the Event unreasonably difficult or unsafe. In the event of a delay, modification, or cancelation of the Event, Participant shall not be entitled to any refund or any entry fee or any other costs incurred in connection with the Event.
Participant’s Representations and Warranties: Participant represents that he/she is in sufficient good health, and in proper physical condition. Participant agrees that no medical practitioner has advised or cautioned the Participant from not participating in this Event. The Participant further agrees to withdraw from the Event if it becomes unsafe to the Participant or anyone else.
Medical Treatment and Aid: Participant consents to the administration of first aid and other medical treatment and transportation in the event of any injury or illness and hereby releases Woodruff Electric Inc., Creekworks Ltd. and the Town of Cardston from any liability, claims, or actions arising out of such treatment. This release extends to any liability arising out of, or in any way, connected with the medical treatment, aid and transportation of the Participant.
Assumption of Risk: Participant acknowledges that there will be inherent risks associated with the participation in the Event and assumes full responsibility for any activities during the Event in case of bodily injury, death, loss of personal property and any expenses thereof due to the inherent risks or dangers of participating in this Event. The Participant agrees that participation in this Event may result in such minor, serious or even catastrophic injuries which the Participant takes full responsibility for any such injuries incurred.
Indemnification: Participant further agrees to fully indemnify Woodruff Electric Inc., Creekworks Ltd., and the Town of Cardston from any liability in relation to this Event. Woodruff Electric Inc., Creekworks Ltd., and the Town of Cardston shall not undertake any responsibility nor shall it be liable for actions of any kind or nature.
Alcohol and Drugs: Participant agrees not to be under the influence of alcohol, or any drugs or any other item that could in any way harm or impair the ability to safely participate in the Event, and assumes full responsibility if consuming alcohol before, during and after the Event while on the premises on the date of the Event.
Consent to Recording/Use of Name/Likeness: Participant consents to the taping, photographing, recording, and otherwise capturing by any means now know or hereafter devised, name, likeness, appearance, voice, performances, activities, interviews, signatures, and biographical information during and in connection with this Event.
Participant has carefully read this Agreement and Waiver and understand that it contains a full indemnification and release of Woodruff Electric Inc., Creekworks Ltd., and the Town of Cardston, and any staff, representatives, or volunteers for the Town of Cardston, and constitutes a legally binding contract between the Participant and Woodruff Electric Inc., Creekworks Ltd., and the Town of Cardston.
Participant’s Signature: _______________________________________
Print Name: _________________________ Date: __________________
CONSENT OF PARENT/ LEGAL GUARDIAN
(for Participant who is under 18 years of age)
I, the undersigned, certify that I am the parent or legal guardian of the aforementioned Participant: I have read and fully understand all the provisions of this Agreement and Waiver. I fully accept this Agreement and Waiver and agree that the aforementioned Participant and I both shall be legally bound to the stated terms and conditions of this Agreement and Waiver.
Parent or Guardian’s Signature: ______________________________
Relationship to Participant: __________________________________
Print Name: __________________________ Date: _______________