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PLAYER INFORMATION

PARENT/GUARDIAN #1

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
4S Ranch Sports Park

Release

THIS IS A CONTRACT WITH LEGAL CONSEQUENCES. I HAVE BEEN ADVISED TO READ IT CAREFULLY BEFORE SIGNING

1. In consideration of being allowed to participate in all Recreation Activities including, but not limited to, fitness, sports, arts and crafts, etc. (“Activities”), I freely make the following contractual representations and agreements:

2. I hereby waive, release and discharge for myself, my heirs, legal representatives, next of kin, executors, administrators, assignees, and successors in interest (collectively referred to as "Successors") any and all rights and claims for damages, injuries (including death), expenses or costs of any kind (collectively referred to as "Claims") which I have now or may acquire in the future that are directly or indirectly related to my participation in the Activities, against the County of San Diego and its agents, officials, employees, volunteers and contractors, (collectively referred to as the "Released Parties"). The waived, released and discharged Claims include claims arising from the Released Parties' own active or passive negligence.

3. I acknowledge that the Activities are recreational, that I am not required to participate in them, but that I want to participate and do so voluntarily.

4. I hereby agree to indemnify the Released Parties from any and all liability for all damages including personal injury, death, disability, property damage or other loss, to any third party resulting from or related to my participation in the Activities.

5. I have no physical or medical condition that, to my knowledge, would endanger me or others if I participate in any of the Activities.

6. I agree for myself and Successors that the above representations are contractually binding and are not mere recitals, and that if I or my Successors assert a claim in contravention of this Agreement, the asserting party shall be liable for all expenses (including attorneys' fees and court costs) incurred by the other party or parties to defend that claim, unless the other party or parties are finally adjudged liable on such claim for willful and wanton negligence. This Agreement may not be modified orally. Waiver of any provision shall not be construed as a waiver or modification of any other provision of this agreement. Every term and provision of this Agreement is severable. If one or more provision is found to be unenforceable or invalid, the remaining terms and provisions shall remain binding and enforceable.

7. I authorize the County of San Diego or its contractor, to provide such medical treatment to the Participant listed below as may be deemed necessary or appropriate if I am injured while participating in any of the Activities.

8. I am not relying on any promises, statements, inducements or representations, oral or written, outside of this Agreement with respect to the subject matter of this Agreement.

9. The County of San Diego, Department of Parks and Recreation (the Department) promotes recreation programs in various newspapers using articles, advertisements and photographs. The Department also maintains a website.
For just and sufficient consideration, the receipt of which is hereby acknowledged, the individual named below:

1. Irrevocably grants to the County of San Diego the right to photograph him or her and the right to use the photographs in any way for promotion, advertising or news reporting;

2. Waives the right to any fee or other compensation for, or control of, the photographs, now and in the future; and

3. Authorizes the County of San Diego to use his or her name, likeness and/or biography to publicize, advertise and/or promote the Department or any of its programs.

The undersigned has read, understands and voluntarily signs this release agreement.
Signature:
Date:
 

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