Wolfpack Waiver
WAIVER FOR ILLINOIS STATE UNIVERSITY'S COMBAT CLUB
In consideration of receiving permission from the ISU
Combat Club to participate as a member of the Combat Club
and to participate in any activity, event, tournament,
contest or meeting that the ISU Combat Club participates
in, sponsors, attends, or supervises, the Undersigned
releases the ISU Combat Club, Illinois State University,
Bloomington-Normal, the owner(s) of any premises where any
ISU Combat Club activity, event, tournament, contest and/or
meeting occurs, and/or any other member of the ISU Combat
Club from any and all liability, claims,
demands, action, and/or causes of action arising out of or
related to any loss, damage, and/or injury, including death,
that may be sustained by the Undersigned, and/or any property
of the Undersigned, while participating in any activity,
event, tournament, contest, and/or meeting that the ISU
Combat Club participates in, sponsors, attends and/or
supervises.
The Undersigned being duly aware of the risks and hazards
inherent upon participating in any activity, event,
tournament, contest, and/or meeting of the ISU Combat Club and
elects voluntarily to participate knows that
participation requires physical contact by others to the
person of the Undersigned and that such
participation may become hazardous and dangerous during
the time that the Undersigned is involved in/with the ISU Combat Club.
The Undersigned voluntarily assumes all
risks of loss, damage, and/or injury, including death, that
may be sustained by the Undersigned, and/or any property of
the Undersigned while participating in any activity,
event, tournament, contest, and/or meeting that the ISU
Combat Club participates in, sponsors, attends or
supervises.
This release shall be binding upon the distributees,
heirs, next of kin, executors and administrators of the
Undersigned.
In signing the foregoing release, the Undersigned
acknowledges and represents:
- (a) That he or she has read the above release,
understands it, and signs voluntarily;
- (b) Knows there is an inherent risk of injury involved with participation in the ISU Combat Club;
- (c) The Undersigned will not hold any of the fore mentioned accountable
for any loss, damage, and/or injury to the Undersigned and/or their property while participating in any activity, event, tournament,
contest, and/or meeting that the ISU Combat Club
participates in, sponsors, attends, and/or
supervises;
- (d) That he or she is over 16 years of age and of
sound mind;
_____________________________________________ Sign Your Name Here
Undersigned
_____________________________________________ Print Your Name Here
Undersigned
_____________________________________________
Address
_____________________________________________
City, State, and Zip
_____________________________________________
Home Telephone Number
_____________________________________________
Name of Person to Contact in Emergency
_____________________________________________
Emergency Phone Number
______________________________________________
Parent's Signature of Consent if Participant is Under 18 Years of Age
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