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Toledo Beach Volleyball Association Waiver and Release of Liability Form
Note: This form must be read and signed before the TBVA Volleyball Player listed below is allowed to take part in any training, competition, practice/warm up sessions, and meeting or testing sessions. If you need this document in Spanish, French, Italian, Japanese or Russian, you may request a copy from our Tournament Directors.
I Acknowledge that volleyball or any sporting event is an extreme test of a person's physical and mental limits and carries with it the potential for death, serious injury, or property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING OR OFFICIATING IN A TBVA VOLLEYBALL EVENT.
I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns: a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death or personal injury or damages of any kind, which arise out of or relate to my participation in, or my traveling to and from the volleyball event, THE FOLLOWING PERSONS OR ENTITIES: Steven J. Slandzicki, The Toledo Beach Volleyball Association, The City of Toledo, The EVP Tour, BCSN, Clear Channel INC, The Tournament Director, Sponsors; and the officers, directors, employees, representatives, and agents of any of the above; b) I AGREE NOT TO SUE any of the persons or entitles mentioned above for any of the claims or liabilities that I have waived, released or discharged herein; and c) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions.
BY SIGNING THIS FORM, I AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT, AND I UNDERSTAND IT CONTENTS.
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Participant's Printed Name
x________________________________ _________________
Participant's Signature Date Signed
____ I AM UNDER THE AGE OF EIGHTEEN (18) YEARS OF AGE, MY PARENT/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW. (If applicant is under 18 years of age, a parent or guardian must execute, in addition to the foregoing Waiver and Release, the following, for and on behalf of the minor.)
The undersigned, ______________________________ (parent/guardian) the parent and natural guardian of legal guardian of _____________________________ (minor's name) hereby executes the foregoing Waiver and Release for and on behalf of the minor named herein. I hereby bind myself, the minor and all other assigns to the terms of the Waiver and Release. I represent that I have legal capacity and authority to act for and on behalf of the minor named herein, and I agree to indemnify and hold harmless the persons or entities mentioned above for any claims or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the Waiver and Release.
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Participant's Printed Name
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(Parent/Guardian)'s Printed Name
x ________________________________ _________________
(Parent/Guardian)'s Signature Date Signed
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