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LOG ROLLING

~~CITY OF DENISON LOG ROLLING, WATERLOO POOL
WARNING, ASSUMPTION OF RISK, RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT.
READ CAREFULLY BEFORE SIGNING.  THIS IS A RELEASE OF LIABILITY & WAIVER OF CERTAIN LEGAL RIGHTS.
1. The person who is assisting with, taking part in, and/or competing in City of Denison Log rolling shall be referred to hereinafter as “Participant”.  The “undersigned” means only the Participant when the Participant is age 18 or older OR it means both the Participant and the Participant’s Parent or legal guardian when the Participant is under the age of 18.  The undersigned agree and understand that using event facilities for any purpose, as well as, assisting with preparing for, tearing down or competing in City of Denison Log Rolling (hereinafter the “Activity”) can be HAZARDOUS AND INVOLVES THE RISK OF PHYSICAL INJURY AND/OR DEATH.
2. The undersigned agree and understand that there are dangers and risks associated with participating in the Activity and that falls, INJURIES, AND/OR DEATH may result from engaging in the Activity.  The undersigned agree and understand that risks include, but are not limited to, the following:  the change in weather conditions, obstacles and other participants.
3. The Undersigned acknowledge and understand that the description of the risks listed about are not complete and that participating in the Activity, whether or not described, may be dangerous and may also include risks which are inherent, and/or which cannot be reasonable avoided without changing the nature of the Activity.  By signing this document, the Undersigned recognize that property loss, injury, serious injury and death are all possible while participating in the Activity.  RECOGNIZING THE RISKS AND DANGERS, THE UNDERSIGNED UNDERSTAND THE NATURE OF THE ACTIVITY AND VOLUNTARILY CHOOSE FOR PARTICIPANT TO PARTICIPATE IN AND EXPRESSLY ASSUME ALL REIKS AND DANGERS OF THE ACTIVITY, WHETHER OR NOT DESCRIBED ABOVE, KNOWN OR UNKNOWN, INHERENT OR OTHERWISE.
4. Additionally, in consideration for allowing the Participant to participate in the Activity. THE UNDERSIGNED HEREBY AGREE NOT TO SUE THE CITY OF DENISON, WATERLOO POOL, KEY LOG COMPANY OR ANY OF THEIR RESPECTIVE SUCCESSORS IN INTEREST , AFFILITETED ORGANIZATIONS AND COMPANIES, INSURANCE CARRIERS, AGENTS, EMPLOYEES , REPERSENATATIVES, ASSIGNEES, OFFICERS, DIRECTORS AND SHAREHOLDERS (EACH OHEREINAFTER A “RELEASED PARTY”) FOR ANY PROPERTY DAMAGE (INCLUDING BUT NOT LIMITED TO WQUIPMENT DAMAGE), INJURY OR LOSS TO PARTICIPANT, INDLUDING DEATH, WHICH PARTICIPANT MY SUFFER, ARISING IN WHOLE OR IN PART OUT OF PARTICIPANT’S PARTICIPATION IN THE ACTIVITY.  BY AGREEING NOT TO SUE, THE UNDERSIGNED ARE RELEASING ANY RIGHT TO MAKE A CLAIM OR FILE A LAWSUIT AGAINST ANY RELEASED PARTY.  ALSO, THE UNDERSIGNED AGREE TO HOLD HARMLESS AND RELEASE EACH AND EVERY RELEASED PARTY FROM ANY AND ALL LIABILITY AND/OR CLAIMS FOR INJURY OR DEATH TO PERSON OR DAMAGE TO PEOPERTY ARISING FROM PARTICIPANT’S PARTICIPATION IN THE ACTIVITY, INCLUDING, BUT NOT LIMITED TO, THOSE CLAIMS BASED ON ANY RELEASED PARTY’S ALLEGED OR ACTUAL NEGLIGENCE OR BREACH OF ANY CONTRACT AND /OR EXPERSS OR IMPLIED WARRANTY.
5. By execution of this Agreement, the Undersigned also AGREE TO DEFEND AND INDEMNIFY/REIMBURSE each Released Party from any and all claims of the Undersigned and/or a third party arising in whole or in part from Participant’s participation in the Activity.
6. In consideration for allowing Participant to participate in the Activity, the Undersigned agree that any and all claims for injury and/or death arising from the Participant’s participation in the Activity shall be governed by STATE OF TEXAS law and excusive jurisdiction of any claim shall be the GRAYSON COUNTY OR EASTERN DISTRICT COURT OF TEXAS.
7. In the case of a minor Participant, the Undersigned parent or legal guardian acknowledges that he/she is not only signing this
Agreement on his/her behalf, but that he/she is also signing on behalf of the minor and that the minor shall be bound by all the terms of this Agreement.  Additionally, by signing this Agreement as the parent or legal guardian of a minor Participant, the parent or legal guardian understands that he/she is also waiving certain rights on behalf of the minor that the minor otherwise may have.  The Undersigned parent or legal guardian agrees that but for the foregoing, the minor Participant would not be permitted to participate in the Activity.
8. By signing this Agreement without a parent or legal guardian’s signature, Participant, under the penalty of fraud, represents that he/she is at least 18 years of age.  If signing as the parent or guardian of a minor Participant, signing adults represent that they are a legal parent or guardian of the minor Participant.
9. The Undersigned understand and acknowledge that this Agreement is a contract and shall be binding to the fullest extent permitted by law.  If any party of this Agreement is deemed to be unenforceable, the remaining terms shall be an enforceable contract between the parties.  It is the Undersigned’s intent that this Agreement shall be binding upon the assignees, subrogors, distributors, heirs, next of kin, executors and personal representatives of the Undersigned.
10. I hereby grant The City of Denison permission to use my likeness (or that of my minor participant) in a photograph or other digital reproduction in any and all of its publications, including website entries, without payment or any other consideration.
I HAVE CAREFULLY READ THE FOREGOING ASSUMPTION OF RISK, RELEASE OF LIABILITY & INDEMNIFICATION AGREENEMT AND UNDERSTAND ITS CONTENTS.  I AM AWARE THAT I AM RELEASING CERTAIN LEGAL RIGHTS THAT OTHERWIESE MAY EXIST.  This document is in effect until 12/31/2019.

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
11 Participant's Name

First Name*

Last Name*
11 Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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