Loading...

ARCHERY COMPETITION/CLUB/SHOOTING WAIVER AND RELEASE OF LIABILITY

READ BEFORE SIGNING

In consideration of being allowed to participate in any way in Grass Hollow Archery OR Online Archery Challenges

           

I Agree
      Allow GHA to utilize my sons/daughters pictures for any and all social media, marketing, and advertising. 

Events and activities, the undersigned acknowledges, appreciates and agrees that:

1)  The risk of injury from archery and other known and unknown events and activities and/or the use of the related buildings, structures, equipment, land and all other real and personal property whether owned by Frank McDonough, GHA, OAC or others in 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 acknowledge and agree that the use of archery equipment, firearms and other weapons by myself or others on premises, while participating in online challenges are otherwise are inherently dangerous and high risk activities whether such archery equipment, firearms or weapons are discharged by myself or others; and

3)  I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown including Coronavirus Exposure while practicing along side other shooters. I understand that while masks are recommended to protect you and others from COVID19 they are not mandatory and I enter the premises at my own risk. I understand that the clear barriers are erected at the shooting line for your safety to allow you to shoot without wearing a mask. If you so choose to not wear a mask you assume all risks that go along with said decision.

YOU KNOW AND UNDERSTAND THAT YOU ACCEPT ALL RISKS EVEN IF ARISING FROM THE NEGLIGENCE OF OTHERS and assume full responsibility for INJURY OR LOSS OF LIFE THAT COULD OCCURE DURING  my participation at GHA or as part of OAC; while on said property.

4)  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 via in person, text, private message; and,

5)  I, for misled and on behalf of my heirs assigns, personal representatives and next of kin, HEARBY RELEASE  AND HOLD HARMLESS Grass Hollow Archery and Online Archery Challenges  (Frank McDonough)  its officers, directors,  officials, agents, employees, volunteers, members, guests, other participants, sponsoring agencies, sponsors,  advertisers, and if applicable owners and lessors of real property (Heim Construction or Max & Mia Realty LLC) and personal property used to conduct the events   and activities (“RELEASE”),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.

 

I HAVE READ THIS RELEASE OF LIBILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY

UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANIAL RIGHTS BY

SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

FOR PARTICIPANTS OF MONORITY AGE

(UNDER AGE 18 AT THE TIME OF PARTICIPATION)

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 Releases’, and for myself, my heirs, assigns, and next of kin, I release and  agree to indemnify and hold harmless the Releases’ from any and all liabilities incident to my minor child’s  involvement or participation in these events and activities and/or the use of related real and personal property as provided above, EVEN IF ARISING FORM THEIR NEGLIGENCE.

First Shooters / Competitors / Volunteers Name

First Name*

Last Name*

Phone*
First Shooters / Competitors / Volunteers Date of Birth*
First Shooters / Competitors / Volunteers Signature*
Second Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Second Shooters / Competitors / Volunteers Date of Birth*
Third Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Third Shooters / Competitors / Volunteers Date of Birth*
Fourth Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Fourth Shooters / Competitors / Volunteers Date of Birth*
Fifth Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Fifth Shooters / Competitors / Volunteers Date of Birth*
Sixth Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Sixth Shooters / Competitors / Volunteers Date of Birth*
Seventh Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Seventh Shooters / Competitors / Volunteers Date of Birth*
Eighth Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Eighth Shooters / Competitors / Volunteers Date of Birth*
Ninth Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Ninth Shooters / Competitors / Volunteers Date of Birth*
Tenth Shooters / Competitors / Volunteers Name

First Name*

Last Name*
Tenth Shooters / Competitors / Volunteers Date of Birth*
Shooters / Competitors / Volunteers 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*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
You understand that all equipment worked on and repaired by representatives of GHA and it's volunteers is the responsibility of equipment owner or parent in event of equipment failure, breakage, or malfunction.
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!