Adaptive Athletics Participation Waiver

MindsEye Adaptive Athletics Participation Waiver

This waiver must be completed before participating in any Adaptive Athletics Program practices or events.

"*" indicates required fields

Participant Name*

First Last

Participant Phone*

Participant Email*

Is the participant 18 years or older?*

Yes

Parent/Guardian Name*

Please have parent or guardian read and sign this form.

First Last

Event you are participating in:*

Demonstration/Educational

Tournament/Competition

Practice

Liability Waiver and Release of All Claims*

Please, read this form carefully and be aware that in signing up and participating in this program, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages, or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this event (including transportation services, vehicle operation, when provided).

I recognize and acknowledge that there are certain risks of physical injury to participants, and I voluntarily agree to assume the full risk of any and all injuries, damages, or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program against MindsEye Radio including its officials, volunteers, and employees. I do hereby fully release and forever discharge MindsEye Radio from any and all claims for injuries, damages, or loss that my minor child/ward or I may have, or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program.

Warning of Risk: MindsEye Adaptive Athletics is intended to challenge and engage the physical, mental, and emotional resources of each participant. Despite careful and proper preparation, instruction, and medical advice, conditioning, and equipment, there is still a risk of serious injury when participating in any recreational program. Understandably, not all hazards and dangers can be foreseen. Depending on the activity, participants must understand that certain risks, dangers, and injuries due to inclement weather, high temperatures, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to indoor and outdoor recreational programs exist. In this regard, it must be recognized that it is impossible for MindsEye to guarantee absolute safety.

I agree.

Signature.*

*If under 18, A parent/guardian must sign.

Phone

This field is for validation purposes and should be left unchanged.