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ADULT LIABILITY WAIVER
Please Print Clearly
I_______________________________________HEREBY ACKNOWLEDGE that I have
applied to participate in instruction in the sport or activities, which
I have initialed below, ("Sport") organized by Sports to the
Maxx. I understand and I am informed that the Sport in which I wish to
engage is inherently dangerous and may result in my death or injury. I
shall participate in the Sport with full understanding of its dangers.
Accordingly, I hereby forever waive any liability of, and release, on
behalf of myself, my heirs and executors, Suzanne Maxx, Sports to the
Maxx, the Cities of Malibu and Santa Monica, the County of Los Angeles,
and the State of California, or any other Venues, Gyms or Clubs, Cities,
Counties or States, or other governmental jurisdictions, and the State
of California as well as the owners of the land and facilities where the
Sports in which I participate are conducted and the heirs, successors,
executors and assigns, of the foregoing released persons and entities,
of and from any and all liability for my injury or death resulting from
my participation in the Sport, whether resulting directly or indirectly
from the negligence of any such released persons or entities or otherwise.
I hereby agree that I shall fully indemnify and hold harmless each of
the released persons and entities of and from all claims actions, causes
of action, judgments and awards arising out of my injury, death or sickness
resulting or allegedly resulting from my participation in the Sport.
I HAVE READ AND UNDERSTAND THE FOREGOING WAIVER AND RELEASE.
Nevertheless I have been advised to seek advice of an attorney to explain
the foregoing provisions, and any failure to do so is my decision. I understand
and agree that instruction or participation in the Sport is offered only
in reliance on, and on the condition that I agree to be bound by the foregoing
provisions of this Release and Waiver.
___________________________ ________/__________/________
Your Signature Day / Month / Year
_______________________________________________
Witness (in the presence of)
_______________________________________________
Location; where you meet for coaching, including City, State and Country)
YOUTH LIABILITY WAIVER
Please print clearly
I, ______________________________________Hereby Represent that I am the
mother or father or legal guardian of ________________________________________,
and I acknowledge that I have applied for my minor son/daughter/ward ("Minor")
to participate in instruction for the sport or activities, initialed below,
( "Sport") organized by Sports to the Maxx. I understand and
am informed that the Sport in which I wish the Minor to engage in is inherently
dangerous and may result in death or injury. I agree to have the Minor
participate in the Sport with full understanding of its danger. Accordingly,
I hereby forever waive any liability of, and release, on behalf of the
Minor and myself and the Minor's heirs and executors, Sports to the Maxx,
Suzanne Maxx, and/or any other instructor associated with Sports to the
Maxx, the Cities of Malibu and Santa Monica, the County of Los Angeles,
and the State of California, or any other Venues, Gyms or Clubs, Cities,
Counties or States, wherein the instruction takes place, as well as the
owners of the land and facilities, where the Sports in which I participate
are conducted and the heirs, successors, executors and assigns, of the
foregoing released persons and entities, of and from any and all liability
for my injury or death resulting from my participation in the Sport, whether
resulting directly or indirectly from the negligence of any such released
persons and entities or other wise. I hereby agree that I shall fully
indemnify and hold harmless each of the released persons and entities
of and from all claims actions, causes of action, judgments and awards
arising out of my injury, death or sickness resulting or allegedly resulting
from my participation in the Sport.
I HAVE CAREFULLY READ AND UNDERSTAND THE FOREGOING WAIVER AND RELEASE.
Nevertheless I have been advised to seek advice of an attorney to explain
the foregoing provisions, and any failure to do so is my decision. I understand
and agree that instruction or participation in the Sport is offered only
in reliance on, and on the condition that I agree to be bound by the foregoing
provisions of this Release and Waiver.
___________________________ ________/__________/________
Your Signature Month / Day / Year
______________________________________
Witness (in the presence of)
______________________________________
Location; where you are now, including City, State and Country)
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