AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY
READ BEFORE SIGNING

 
In consideration of being allowed to participate in any way in Milton Ultimate Club's (MUC’s) athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
 
1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
 
2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
 
3) 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 nearest official immediately; and,
 
4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Milton Ultimate Inc., their directors, officers, officials, agents, volunteers and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("RELEASEES"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

5) Consent of use of Personal information and Photo Release. I authorize MUC to collect and use personal information about me for the purpose of receiving communications (newsletters, publications, announcements, invitations and other news or information) from MUC and posting articles of interest, newsletters, promotions, statistics, images and results on MUC's website. This consent is in compliance with the Personal Information Protection and Electronic Documents Act.

I grant permission to MUC to photograph and/or record my image and/or voice on still or motion picture film and/or audio tape and to use this material to promote the MUC through the media of newsletters, websites, television, film, radio, print and/or graphic form. I waive any claim to remuneration for use of audio/visual materials used for these purposes.
 
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 SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
 
PARTICIPANT NAME (PLEASE PRINT):  ___________________________
 
PARTICIPANT SIGNATURE: _______________________________________________
 
EMAIL ADDRESS:  ___________________________________________
 
DATE SIGNED:  ______________________
 
 
FOR PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT THE TIME OF REGISTRATION)
 
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
 
PARENT/GUARDIAN NAME (PLEASE PRINT):  _______________________
PARENT/GUARDIAN SIGNATURE: _________________________________
DATE SIGNED: ______________________
 
Emergency Phone Number: (________) _________________