Waiver Signature: To sign, please type name in space below waiver
In consideration of being allowed to participate in any way in Verge Inclusive Athletics, Inc./Team Verge athletic programs, including run club, motor skills class, yoga class, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
The risk of injury from the activities involved in this program is 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; I further understand that to minimize the risk of injury or
harm, the applicant should have had a physical within the past year, clearing applicant for sport activities; and,
I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and,
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; and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Verge Inclusive Athletics, Inc./Team Verge, their coaches, volunteers, representatives, officers, contractors, other participants, and if applicable, owners and lessors of premises used to conduct the event ("releasees"), 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 LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)
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 Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
I hereby consent to and authorize the use and reproduction by Verge Inclusive Athletics, Inc./Team Verge of any
photographs and other audiovisual materials taken of me/my child/my ward for the purpose of promoting or advertising
the programs of Verge Inclusive Athletics, Inc/Team Verge.