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Tryout Waiver
PIKES PEAK STARS TRYOUT WAIVER
Name: _________________________ Birthdate: _________________
Street Address: _______________________ City: _____________ Zip: _________
I the undersigned (if participant is 18 years of age or older) or parent/guardian of the above listed minor participant acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability or death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but action, inaction or negligence of others, the rules of play or the condition of the premises or of any equipment used and further, that there may be other unknown risks not reasonably foreseeable at this time, assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death, hereby release, discharge, covenants to indemnify and not to sue the Pikes Peak Stars, its affiliated organizations and sponsors, their coaches, managers, employees and associated personnel, including the owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as “releasees”, from any and all liability to each of the undersigned, his/her heirs or next of kin for any and all against any claim by or on behalf of the applicant as a result of the applicant’s participation in the tryout and/or being transported to or from the same, which participation, after careful consideration I hereby authorize, and which transportation I hereby authorize. The applicant/participant has received a physical examination by a physician and has been found physically capable of participating in the tryout. I have read the above waiver/release and understand that (I) we have given up substantial rights by signing this release and sign below voluntarily. I understand that this document may not be altered in any manner and that any alteration without the express written consent from the Pikes Peak Stars will cause the participant to be removed from the tryout.
Parent/Guardian signature _____________________________________
Date _________
(Parent/Guardian’s Signature is required if participant is under the age of 18)
Participant’s signature _________________________________________
Date _________
(Participant’s Signature is required if participant is 18 years of age or older)
Email to thelionsco@yahoo.com
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