Fill and Sign the Waiver Imcs Waiver Colorado School of Mines Recreation Form

- 1 – Copyright 2004 USLegalforms.com WAIVER AND RELEASE BY PARENT OF MINOR FROM LIABILITY FOR INTRAMURAL SPORTS I, , on behalf of (hereinafter referred to as “MINOR”) HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge and its agents, teachers, trustees, employees, officers, directors, affiliates, successors and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages a nd liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or MINOR ever had or may have, arising from or in any way related to MINOR’S participation in any of the events or act ivities conducted by, on the premises of, or for the benefit of, provided that this waiver of liability does not apply to any acts of gross negligence, or intentiona l, willful or wanton misconduct. I understand that the activities that said MINOR will participate in are i nherently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property and/or death. On behalf of myself, MINOR, my heirs, assigns and next of kin, I and said MINOR waive all claims for dam ages, injuries and death sustained to me or my property, that I or said MINOR may have against the aforementioned released party to such activity. MINOR has the necessary and requisite skills to participate in all facets of, and a ctivities of and requested of this facility, except as noted below. The nature of the activities has been fully disclosed and any flyer, advertisement, or brochure relating to the participating activities is expressly m ade a part of this WAIVER AND RELEASE. I further agree and warrant that if at any time I believe conditions t o be unsafe, I will immediately exercise my parental/guardianship rights and discontinue further participa tion by said MINOR in the activity. By this Waiver, I, on behalf of said MINOR, assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property associated with , including but not limited to using the facility and its equipment in any manner, form or fashion, and practicing and/or engaging in any intramural activity or action sports activities, events or other related activitie s on and off the premises. This WAIVER AND RELEASE contains the entire agreement between the parties, and supercedes any prior written or oral agreements between them concerning the subject matter of thi s WAIVER AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties. The provision of this WAIVER AND RELEASE will continue in full force and effect even a fter the termination of the activities conducted by, on the premises of, or for the benefit of, whether by agreement, by operation of law, or otherwise. I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I underst and and confirm that by signing this WAIVER AND RELEASE said MINOR and I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all lia bility to the full extent of the law. - 2 – Copyright 2004 USLegalforms.com Medical Conditions. MINOR is subject to the following allergies or medical conditions, and I authorize the facility to disclose these conditions to a physician or other medical professional in the event said MINOR should require emergency medical care: Prohibited Activities. As a result of the above-mentioned medical conditions, I, on behalf of said MINOR, am prohibiting involvements in the following specific activities: Date Printed Name of MINOR Printed Name of Parent (Guardian) Signature of Parent (Guardian)