AmateurAthletic

WaiverandReleaseofLiability

InconsiderationofbeingallowedtoparticipateinanywayintheHoodooAdventureCompanyathleticsportsprogram,relatedeventsandactivities,theundersignedacknowledges,appreciatesandagreesthat:

1. Theriskofinjuryfromtheactivitiesinvolvedinthisprogramissignificant,includingthepotentialforpermanentparalysisanddeath,andwhileparticularrules,equipmentandpersonaldisciplinemayreducethisrisk,theriskofseriousinjurydoesexist;and,

2. IKNOWINGLYANDFREELYASSUMEALLSUCHRISKS,bothknownandunknown,EVENIFARISINGFROMTHENEGLIGENCEOFTHERELEASESorothers,andassumefullresponsibilityformyparticipation;and,

3. Iwillinglyagreetocomplywiththestatedandcustomarytermsandconditionsforparticipation.IfhoweverIobserveanyunusualsignificanthazardduringmypresenceorparticipation,Iwillremovemyselffromparticipationandbringsuchtotheattentionofthenearestofficialimmediately;and,

4. Iformyselfandonthebehalfofmyheirs,assigns,personalrepresentativesandnextofkin,HEREBYRELEASEANDHOLDHARMLESSHoodooAdventureCompany,theirofficers,officials,agentsand/oremployees,otherparticipants,sponsoringagencies,sponsors,advertisers,and,ifapplicable,ownersandlessorsofpremisesusedtoconducttheevent(“Releasees”),WITHRESPECTTOANYANDALLINJURY,DISABILITY,DEATH,orlossordamagetopersonorproperty,WHETHERCAUSEDBYNEGLLIGENCEOFTHERELEASEESOROTHERWISE.

IHAVEREADTHISRELEASEOFLIABILTYANDASSUMPTIONOFRISKAGREEMENT,FULLYUNDERSTANDITSTERMS,UNDERSTANDTHATIHAVEGIVENUPSUBSTANTIALRIGHTBYSIGNINGIT,ANDSIGNITFREELYANDVOLUNTARILYWITHOUTANYINDUCEMENT.X ParticipantsSignaturePrintName Address Phone:#X WitnessPrintNameDateSigned:

EmergencyContact EmergencyContactRelationshipPhone:#

IagreetoreadandabidebytheHoodooAdventure’sClimbingGymRulesandSafetyPolicies,ondisplayatfrontdeskandontheclimbingwall.Initial:X_____

FORPARTICIPANTSUNDERTHEAGEOFMINORITY(UNDERAGEOF18ATTIMEOFREGISTRATION)ThisistocertifythatI,asaparent/guardianwithlegalresponsibilityforthisparticipant,doconsentandagreetohis/herreleaseasprovidedaboveofalltheReleasees,and,formyself,myheirs,assigns,andnextofkin,IreleaseandagreetoindemnifytheReleaseesfromanyandallliabilitiesincidenttomyminorchild’sinvolvementorparticipationintheseprogramsasprovidedabove.X Parent/Guardian’sSignaturePrintNameX WitnessPrintName