General Participation Affidavit

GENERAL PARTICIPATION AFFIDAVIT

This General Participation Affidavit is entered into as of Effective Date: by and between Participant Name: (hereinafter "Affiant") and Organization Name: (hereinafter "Organization").

RECITALS

WHEREAS, Affiant desires to participate in the Activity known as to be conducted at on or about .

WHEREAS, Organization organizes, sponsors, or administers the Activity and requires execution of this affidavit to evidence Affiant's consent, representations, release of claims, assumption of risk, and agreement to the terms set forth herein.

WHEREAS, the parties desire to set forth the understandings, certifications, and undertakings of Affiant in writing.

NOW THEREFORE, in consideration of the mutual covenants and promises contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. DEFINITIONS

For purposes of this Affidavit, the following terms have the meanings set forth below. "Activity" means the event or program identified above. "Affiant" means Participant identified above. "Organization" means the sponsoring entity identified above. "Related Parties" means Organization's officers, directors, employees, agents, volunteers, contractors, insurers and successors.

2. ACKNOWLEDGMENT OF RISK; ASSUMPTION OF RISK

Affiant acknowledges that participation in the Activity involves inherent risks, including but not limited to physical injury, property damage, and death. Affiant voluntarily assumes all risks associated with participation in the Activity, whether known or unknown, foreseeable or unforeseeable, and whether caused in whole or in part by the negligence of the Organization or any Related Party.

3. REPRESENTATIONS AND WARRANTIES

Affiant represents and warrants that Affiant is at least eighteen (18) years of age and legally competent to execute this Affidavit, is not under the influence of alcohol or drugs while participating, and is in adequate physical condition to participate. If Affiant is under 18 years of age, a parent or legal guardian must complete the Parental Consent portion below and execute this Affidavit on behalf of the minor.

I am a minor (under 18):

4. RELEASE, WAIVER AND LIMITATION OF CLAIMS

To the fullest extent permitted by law, Affiant hereby releases, waives, and forever discharges Organization and Related Parties from any and all claims, demands, liabilities, causes of action, suits, judgments, and expenses (including attorneys' fees) that arise out of or relate in any way to Affiant's participation in the Activity, whether based on contract, tort (including negligence), strict liability, or other legal theory, except to the extent such claims arise from the gross negligence or willful misconduct of Organization.

5. INDEMNIFICATION

Affiant shall defend, indemnify and hold harmless Organization and Related Parties from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of or in connection with Affiant's acts, omissions, breach of this Affidavit, or violation of any law or rule during the Activity.

6. MEDICAL AUTHORIZATION AND INSURANCE

Affiant authorizes Organization and its agents to secure medical treatment for Affiant in the event of injury or illness and agrees to be financially responsible for all costs associated with such treatment. Affiant represents that Affiant has adequate health insurance coverage or other means to pay for medical expenses in the event of injury.

7. PUBLICITY, PHOTOGRAPHY AND RECORDINGS

Affiant grants Organization and Related Parties the irrevocable right to photograph, film, record, and otherwise use Affiant's name, image, voice, and likeness in any media now known or hereafter developed for promotional, educational, archival, or other lawful purposes without further compensation. Consent to use likeness:

8. COMPLIANCE WITH RULES; TERMINATION OF PARTICIPATION

Affiant agrees to comply with all reasonable directions, rules, and policies established by Organization for the safe conduct of the Activity. Organization reserves the right to terminate Affiant's participation for failure to comply or for conduct that poses a risk to Affiant or others.

9. NOTICES

All notices required or permitted under this Affidavit shall be in writing and delivered to the following addresses by personal delivery, certified mail, return receipt requested, or overnight courier:

10. GOVERNING LAW; VENUE

This Affidavit shall be governed by and construed in accordance with the laws of the State of , without regard to its conflict of laws principles. Any action arising out of or relating to this Affidavit shall be brought exclusively in the state or federal courts located in the county of the Organization's principal place of business.

11. ENTIRE AGREEMENT; SEVERABILITY; AMENDMENT; WAIVER

This Affidavit constitutes the entire agreement between the parties relating to the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral. If any provision of this Affidavit is held invalid or unenforceable, the remaining provisions shall remain in full force and effect. This Affidavit may be amended only by a written instrument executed by both parties. Failure to enforce any provision shall not constitute a waiver of that provision or any other provision.

12. CERTIFICATION UNDER OATH

Affiant certifies under penalty of perjury under the laws of the State of that the statements made in this Affidavit are true and correct to the best of Affiant's knowledge.

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