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Washington Civil War Association
MINOR'S GENERAL RELEASE OF LIABILITY
Since reenacting is dangerous, we require all participants and legal guardians to assume all risk by signing this General Release of Liability. I acknowledge that reenacting, black powder shooting and related activities are HAZARDOUS activities, and that I have made a voluntary, choice to allow my minor child to participate In those activities despite the risks that they may present. In consideration of my minor child being permitted to participate in the WCWA activities described above, I agree to assume ANY AND ALL RISKS OF INJURY OR DEATH which might be associated with or result from my participation in WCWA events. Parent / Guardian Initial here: _____________________ I further Release, Waive, Discharge and Covenant not to sue the WCWA, the organizers of any WCWA event, the trustees of, officers of, agents of, employers of or members of the WCWA, or the owner or lessor of any property on which the WCWA conducts any activity from all liability to my child, myself, or any other party claiming an interest through myself for all loss or damage or demand therefore on account of injury to the person or property or death of my child whether caused by their NEGLIGENCE or for any other reason, while preparing for, practicing for, traveling to or from participating In any WCWA event. Parent / Guardian Initial here: _____________________ I further INDEMNIFY AND HOLD HARMLESS the parties released above and each of them from loss, liability, damage, or claim they may incur due to the presence of my actions during WCWA activities whether caused by their negligence or otherwise. Parent / Guardian Initial here: _____________________ It is the intent of the undersigned that the above release be as broad and Inclusive as allowed by law and that if any portion is invalid, the remainder shall continue in full force and effect. The release is entered into solely for the benefit of the WCWA, its officers, trustees, agents and members when engaged in activities which promote the participation In WCWA sanctioned events, or the preparation for or travel to and from such events and does not confer a Release upon parties not acting in such capacity. Parent / Guardian Initial here: _____________________ I, the undersigned, have read and understood this Release and all its terms. I warrant that the above is true and correct in all respects and that no oral representatives, statements or inducements apart from the foregoing have been made. I warrant that I am the parent or legal guardian of the minor child whose name appears below and warrant and represent that I am empowered to execute this release on their behalf. I consent to whatever medical care might be provided or available for injury occurring during the above activities. I authorize any officer of the Administrative Board of the WCWA to consent, to authorize, or contract for medical treatment for the below minor required as the result of illness or injury which occurs during the participation in or while traveling to or from any WCWA activity if I am unable to consent there to. Signed by Parent/ Guardian: ____________________________________________ Date: _____________ Print Parent / Guardian name: ______________________________________________________________ Name of Minor: ________________________________________ Date of Birth_____________________
Submit completed application through your company Commander. Updated: 11/02 |