Tweet
Re: 31st Iowa Company B Living History Lookout Mtn June 24-26,2016
31st Iowa Company B Lookout Mountain
Living History June 24-26, 2016
Hairy Nation Boys Sponsors
WAIVER OF LIABILITY, RELEASE ASSUMPTION OF RISK & INDEMNITY AGREEMENT
It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death, including if caused by negligence, including the negligence, if any, of releasees. “Releasees” include the Hairy Nation Boys its officers and directors, event hosts, other participants, sponsors, if any, and the ______________________________.
For and in consideration of the undersigned participant’s registration to participate in the re-enactment event to be held at _________________________________________ on the _____________________ 20____, the participant, and parents(s) or legal guardian(s), if participant is under the age of 18, hereby waive, release and relinquish any and all claims for liability and cause(s) of action, including for personal injury, property damage or wrongful death occurring to participant arising out of participation in the HNB sponsored and hosted re-enactment event, and/or activities incidental hereto, whenever or however they occur and for such period said activities continue, and by this agreement any such claims, rights, and causes of action that participant may have are hereby waived, released and relinquished, and participant does so on behalf of participant’s heirs, executors, administrators and assigns.
Participant, and parent(s) or legal guardian(s), if participant is under the age of 18, acknowledge, understand and assume all risks relating to Civil War re-enacting, and understand that Civil War re-enacting involves risks to participant’s person including bodily injury, partial or total disability, paralysis and death, and damages which may arise therefore and that I have full knowledge of said risks. These risks and dangers may be caused by the negligence of the participant or the negligence of others, including the “releasees” identified in this document. I agree to abide by and be bound under the By-Laws and Safety & Authenticity Rules of the HNB and all rules and regulations set forth by __________________________________.
Participant, and parent(s) or legal guardian(s), if participant if under the age of 18, acknowledge that he/she has been provided and have read the above paragraphs and have not relied upon any representations of releasees, that they are fully advised of the potential dangers of Civil War re-enacting and understand these waivers and releases are necessary to allow Civil War re-enacting to exist in its present form.
PLEASE PRINT ALL INFORMATION
Name ____________________________________________ Unit______________________
First Person Name:__________________
Address __________________________________________
City ____________________________ State _______________
Zip Code _________________
Phone number _____________________________________
In case of emergency, please contact _________________________ (____)_________________
Participant Signature: __________________________________ Date__________________________________
Parent or Guardian Signature (if participant in under the age of 18): __________________________________ Date:______________________________
Ration and Preservation Donation
Please send $25.00 money order or Paypal to:
Mike Palada
6140 Davis Prairie Trl
Fulton, MO 65251
cell# 314-960-3264
PayPal through mikepalada@yahoo.com
31st Iowa Company B Lookout Mountain
Living History June 24-26, 2016
Hairy Nation Boys Sponsors
WAIVER OF LIABILITY, RELEASE ASSUMPTION OF RISK & INDEMNITY AGREEMENT
It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death, including if caused by negligence, including the negligence, if any, of releasees. “Releasees” include the Hairy Nation Boys its officers and directors, event hosts, other participants, sponsors, if any, and the ______________________________.
For and in consideration of the undersigned participant’s registration to participate in the re-enactment event to be held at _________________________________________ on the _____________________ 20____, the participant, and parents(s) or legal guardian(s), if participant is under the age of 18, hereby waive, release and relinquish any and all claims for liability and cause(s) of action, including for personal injury, property damage or wrongful death occurring to participant arising out of participation in the HNB sponsored and hosted re-enactment event, and/or activities incidental hereto, whenever or however they occur and for such period said activities continue, and by this agreement any such claims, rights, and causes of action that participant may have are hereby waived, released and relinquished, and participant does so on behalf of participant’s heirs, executors, administrators and assigns.
Participant, and parent(s) or legal guardian(s), if participant is under the age of 18, acknowledge, understand and assume all risks relating to Civil War re-enacting, and understand that Civil War re-enacting involves risks to participant’s person including bodily injury, partial or total disability, paralysis and death, and damages which may arise therefore and that I have full knowledge of said risks. These risks and dangers may be caused by the negligence of the participant or the negligence of others, including the “releasees” identified in this document. I agree to abide by and be bound under the By-Laws and Safety & Authenticity Rules of the HNB and all rules and regulations set forth by __________________________________.
Participant, and parent(s) or legal guardian(s), if participant if under the age of 18, acknowledge that he/she has been provided and have read the above paragraphs and have not relied upon any representations of releasees, that they are fully advised of the potential dangers of Civil War re-enacting and understand these waivers and releases are necessary to allow Civil War re-enacting to exist in its present form.
PLEASE PRINT ALL INFORMATION
Name ____________________________________________ Unit______________________
First Person Name:__________________
Address __________________________________________
City ____________________________ State _______________
Zip Code _________________
Phone number _____________________________________
In case of emergency, please contact _________________________ (____)_________________
Participant Signature: __________________________________ Date__________________________________
Parent or Guardian Signature (if participant in under the age of 18): __________________________________ Date:______________________________
Ration and Preservation Donation
Please send $25.00 money order or Paypal to:
Mike Palada
6140 Davis Prairie Trl
Fulton, MO 65251
cell# 314-960-3264
PayPal through mikepalada@yahoo.com
Comment