CAPITAL CITY RACING/ SKATELAND SOUTH LIABILITY WAIVER
Read Before Signing
In consideration of being allowed to participate in any program with Capital City Racing at Skateland South, it’s related events and activities, I________________________, the undersigned, acknowledge, appreciate and agree that:
The risk of injury from activities involved in any program with Capital City Racing/ Skateland South is significant, including the risk for permanent Paralysis and death, and while particular skills, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation.
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 the Coaches of Capital City Racing or management staff of Skateland South immediately.
I, for myself, and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS CAPITAL CITY RACING AND SKATELAND SOUTH, their Coaches, owners, management staff, agents and/or employees and volunteers, sponsoring agents and other participants (RELEASEES), WITH RESPECT TO ALL AND ANY INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARRISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
HELMETS ARE MANDATORY FOR ALL SPEED SKATING ACTIVITIES.
I have read this Release of Liability Waiver, and fully understand its terms.I understand that I have given up substantial rights by signing it freely and voluntarily.
Participants Signature_________________________________________Date__/__/____
Participants printed name______________________________________D.O.B.__/__/____
Emergency Contact Information _______________________________________________
Participants of Minority Age
(Under the age of 18)
This is to certify that as the parent/guardian with legal responsibility for the above participant, I do consent to his/her release as provided above releases, for myself, heirs, assigns and next of kin, I release and agree to indemnify and hold harmless the releases from any and all liabilities to the minor child228s participation in these programs, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES, to the fullest extent permitted by law
Parent/Guardian Signature______________________________________Date__/__/____
Relationship to above Minor__________________________________________________
Emergency Contact Information_______________________________________________