by Peregrine » Wed Jan 06, 2010 7:14 pm
WAVER FOR MUXLOVIA EVENTS
BELEGARTH MEDIEVAL COMBAT SOCIETY
PARENT/GUARDIAN WAIVER AND RELEASE
In consideration of receiving permission from Belegarth Medieval Combat Society (herein "BMCS"), to participate as a member of the BMCS and to participate in any activity, event, tournament, contest or meeting that BMCS participates, sponsors, attends, or supervises, the Undersigned releases BMCS, the owner of any premises where any BMCS activity, event, tournament, contest or meeting occurs, and any other member of the BMCS, individually, from any and all liability, claims, demands, actions, and causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Undersigned's minor child, or any property of the Undersigned or the Undersignedis minor child, while participating in any activity, event, tournament, contest or meeting that BMCS participates, sponsors, attends or supervises.
The Undersigned being duly aware of the risks and hazards inherent upon participating in any activity, event, tournament, contest or meeting of the BMCS, elects voluntarily to allow Undersigned's minor child to participate, knowing 'that participation requires physical contact by others to the person of the Undersigned's minor child and knowing that such participation may become hazardous and dangerous during the time that the Undersigned voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by the Undersigned's minor child, or any property of the Undersigned or Undersigned's minor child while participating in any activity, event, tournament, contest, or meeting that the BMCS participates, sponsors, attends or supervises.
This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned and Undersigned's minor child.
In signing the foregoing release, the Undersigned acknowledges and represents:
(a) That he or she has read the above release, understands it, and signs voluntarily on behalf of themselves and their minor child;
(b) That he or she is over 18 years of age and of sound mind and is the parent or legal guardian of the minor child named below;
(c) Undersigned represents that Undersigned,' s minor child has no physical or mental defects known to the Undersigned and unknown to the appropriate representative of the BMCS that would endanger or harm the Undersigned's minor child while participating in any activity, event, tournament, contest or meeting that the BMCS participates, sponsors, attends, or supervises.
__________________________________________
Undersigned (Sign name here)
__________________________________________
Undersigned (Print name here)
__________________________________________
Name of minor child (Print)
__________________________________________
Address
__________________________________________
City, State, and Zip __________________________________________
Phone
__________________________________________
E-Mail
__________________________________________
Name of person to contact in emergency
__________________________________________
Emergency phone number
_________________
________________
something about polyvinylchloride leaching into the brain, causing slow reactions and high crossing. -Sir Beauregaurd-
Sir Peregrine the Paragon of Paladins
Thengel of Muxlovia.
Loyal brother in arms to Sir Beauregaurd
Clan of the Hydra