2003
NORTH AMERICAN TABLE TENNIS CHAMPIONSHIPS
Balboa Park
Activity Center, San Diego,
California, USA, April 4-6, 2003
Entry Form
USA Table Tennis
Release and Waiver of Liability, Assumption of Risk, and Indemnity
Agreement
("Agreement")
- IN CONSIDERATION of being permitted to participate in any way in USA
Table Tennis sanctioned events, I and/or my minor child, our personal
representatives, assigns, heirs, and next of kin:
- ACKNOWLEDGE, agree, and represent that I and/or my minor understand the
nature of Table Tennis Activities and that I and/or my minor child are
qualified, in good health, and in proper physical condition to participate in
such Activity. I further agree that
if at any time I believe conditions or equipment to be unsafe, I and/or my minor
child will immediately discontinue further participation in the Activity.
- FULLY UNDERSTAND that (a) TABLE TENNIS ACTIVITIES INVOLVE RISKS AND
DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND
DEATH ("RISKS"); (b) these Risks and dangers may be caused by me
and/or my child's own actions, or inaction, or the actions or inaction of others
participating in the Activity, the condition in which the Activity takes place,
or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be
OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily
foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL
RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I and/or my minor child incur as a
result of my participation in the Activity.
- HEREBY ACCEPT AND ASSUME ALL SUCH RISKS, KNOWN AND UNKNOWN, AND ASSUME
ALL RESPONSIBILITY FOR THE LOSSES, COSTS, AND/OR DAMAGES FOLLOWING SUCH INJURY,
DISABILITY, PARALYSIS, OR DEATH, EVEN IF CAUSED, IN WHOLE OR IN PART, BY THE
NEGLIGENCE OF THE "RELEASEES" NAMED BELOW;
- HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE USA TABLE TENNIS,
their respective administrators, directors, agents, officers, officials,
volunteers, and employees, other participants, any sponsors, advertisers, and if
applicable, owners and lessors of premises on which the Activity takes place,
(each considered one of the "RELEASEES" herein) FROM ALL LIABILITY,
CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED
IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE,
INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I
and/or my minor child, or anyone on my and/or my minor child's behalf, makes a
claim against any of the Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS
EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss,
liability, damage, or cost which may incur as the result of such claim.
- I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I
HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND
WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE
AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW
AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE
BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
Print
Name of Minor Child_______________________________
Signature_______________________________
Parent's signature (if minor)_______________________________
Date_______________________________
Back
to North American Championships Home Page
