RELEASE OF
LIABILITY, WAIVER OF CLAIMS
ASSUMPTION OF RISKS AND
INDEMNITY AGREEMENT
By signing this document you will waive certain legal rights, including the right to sue.
PLEASE READ CAREFULLY
AWARENESS AND ASSUMPTION OF RISK
I am aware that sports involves risks including risk of personal injury, death,
property damage, expense and related loss, including loss of income. Included in these risks are negligence on the
part of Perpetual Motion Sports & Entertainment Inc. (known as "Perpetual
Motion"), its directors, officers, officials, shareholders, employees and volunteers,
other participants and owners of the facilities where the activities occur
(referred to in the rest of this agreement as PERPETUAL MOTION and OTHERS). I freely accept and fully
assume all such risks and the possibility of personal injury, death, property
damage, expense and related loss, including loss of income.
In consideration of PERPETUAL MOTION accepting my
application to participate in this activity, I agree:
1. This is a
continuous waiver (current and future years) and I waive any
and all claims that I may have in future against
PERPETUAL MOTION and OTHERS.
2. To release PERPETUAL MOTION and OTHERS from any and all liability for any personal injury,
death, property damage, expense and related loss, including loss of income that
I or my next of kin may suffer as a result of my participation in this
activity, due to any cause whatsoever, including negligence, breach of contract
or breach of any statutory duty of care.
3. To hold
harmless and indemnify PERPETUAL MOTION and OTHERS from any and all liability
for any damage to property of, or personal injury to, any third party,
resulting from my participation in this activity.
4. That this
agreement is binding on not only myself but my next if kin, heirs, executors,
administrators and assigns.
I HAVE READ THIS AGREEMENT AND UNDERSTAND IT. I AM AWARE THAT BY SIGNING THIS DOCUMENT I AM WAIVING CERTAIN RIGHTS WHICH I OR MY NEXT OF KIN, HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST PERPETUAL MOTION AND OTHERS. I WARRANT THAT AT THE TIME OF SIGNING, I AM PHYSICALLY FIT TO PARTICIPATE.
Signed this____________day of _____________,200___.
Team Name _____________________
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Please Print Name Clearly Please Print Name Clearly