RELEASE OF LIABILITY – PLEASE READ BEFORE SIGNING
Participants must read and complete the Release of Liability in order to participate in Lake Senior Games
In consideration of being allowed to participate in any way in the Lake Senior Games program, its related events and activities: I the undersigned acknowledge, appreciate, and agree that:
The risk of injury from activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist; and I KNOWINGLY AND FREELY ASSUME ALL SUCH RISK, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and
I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of Lake Senior Games or their representative immediately; and
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE LAKE SENIOR GAMES, their officers, volunteers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used for the (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss of damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I FURTHER AGREE THAT:
I CONSENT TO ALL EMERGENCY MEDICAL TREATMENT as may be deemed appropriate under existing circumstances by medical personnel or personnel associated with Lake Senior Games.
I will ALLOW my PHOTOGRAPH, PICTURE, or LIKENESS and/or VOICE to APPEAR in any official documentary, promotional (including any and all advertising), television, radio, or film coverage of the Lake Senior Games, WITHOUT COMPENSATION.
I UNDERSTAND THAT I MAY BE REMOVED AS A PARTICIPANT IN LAKE SENIOR GAMES IF I VIOLATE THE CURRENT OR ADDED RULES OF THE CODE OF CONDUCT.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Print Participants Name ________________________________________ Date___________________
Participants Signature__________________________________________ Date____________________
If mailing entry forms: Download the Registration Form With Release of Liability. Then Complete, Sign, and Mail to: Lake Senior Games, Inc. 17307 Pagonia Rd #105 Clermont, Florida 34711
If registering online: Complete the Registration and Release of Liability digitally on our Online Registration Page.