2022 Llano Lions Club “Sporting Clays for a Cause” Waiver
AGREEMENT FOR RELEASE, DISCHARGE AND THE ASSUMPTION OF RISK
This document limits your legal rights. You must read it, understand it, and
sign it. If you refuse, you will not be eligible to participate in the Event.
PRINTED NAME____________________________________________________________________
ADDRESS_________________________________________________________________________
PHONE ( )_________________________EMAIL_______________________________________
DRIVERS LICENSE # AND STATE______________________________________________________
I, (name printed above) am over the age of eighteen or am the parent/guardian of (please print)
___________________________________, a minor who is under the age of eighteen. As to each provision contained in this and subsequent paragraphs, I agree, on behalf of myself, or for the person for whom I am signing, and for his/her or my successors, heirs, assigns, personal representatives and estate, that in consideration of the services provided by the Llano Lions Club, Heath Sporting Company LLC and Inks Ranch I will assume the following risks and release and discharge the Llano Lions Club, it’s employees, officers, managers, directors, members, trustees, agents, partners, shareholders, affiliated persons, related entities, subsidiaries and owners (collectively hereafter referred to as the (LLC) and the Lions Club Sporting Clays for a Cause (the Event), Heath Sporting Company LLC (HSC) and Inks Ranch (INKS) as follows:
DISCLOSURE OF RISK I am aware that Firearms, Sports Utility Vehicles, Three (3) Wheelers, Four (4) Wheelers, Autos, Jeeps, Boats, Motorcycles, Dirt Bikes, Golf Carts, All Terrain Vehicles, and/or any other vehicle (whether Motorized or not), as well as the activities of or related to Hunting, Fishing, Target Shooting, Swimming, Diving and/or any other activity in which I am about to voluntarily engage, entail, present and involve known and/or unknown risks which could result in injury, death, illness, mental or physical harm to myself and others, and/or damage to my property or to the property of others. The risks and hazards include but are not limited to: HYPOTHERMIA; COLD; HEAT; FREEZING; EXPOSURE; DROWNING; WINDBURN; SUNBURN; FROSTBITE; CHANGING WEATHER CONDITIONS; TRAIL, AND WATER CONDITIONS; BARE SPOTS; ROCKS; STUMPS’; TREES; COLLISIONS WITH NATURAL OR MAN MADE OBJECTS; PERSONS OR THINGS; ROLL-OVERS; VARIATIONS IN TERRAIN; FAILURE OF OTHERS TO PARTICIPATE WITHIN THEIR ABILITIES; INJURY/INJURIES FROM CARRYING, TOWING , LIFTING OR DRAGGING EQUIPMENT; MY OWN PHYSICAL CONDITION; CONSUMING FOOD AND/OR DRINK; AND THE BEHAVIOR OF WILD OR DOMESTICATED ANIMALS, REPTILES, INSECTS AND/OR FISH; AND/OR ANY UNKNOWN/UNFORSEEN RISK NOT LISTED HEREIN.
ASSUMPTION OF RISK I voluntarily assume and accept the risks of any injury or harm to my person or property which may result from these or any other hazards arising from any activity in which I may participate in, with or during the Event. This assumption of risk includes the risk of injury or harm, which may be caused by acts of omission or negligence by the LLC, HSC, INKS or any other persons.
RELEASE AND DISCHARGE I voluntarily release and discharge the LLC, HSC and the Event, and all persons related to the LLC, HSC and INKS from all liability, claims, demands, or causes of action which are related to, arise from, or are in any way connected with my participation in the Event. This release includes claims related to the hazards described above, as well as the negligent acts or omissions of the
LLC, HSC, INKS or others. In additiion I agree to wear any and all protective gear that the LLC, HSC and
OVER FOR SIGNATURE
INKS deem appropriate and necessary for the protection of myself and others, however this does not limit the Assumption of Risk and my duty to provide whatever gear is appropriate for protection, I agree to obey all posted signs. I discharge the LLC, HSC and INKS from all costs and Attorney’s fees in connection with any claim or claims which may arise as a result of any activity in which I may engage, with the LLC, HSC and INKS or at the Event.
INSURANCE AND PHYSICAL CONDITION I understand that no medical or other insurance benefits are being provided to me by the LLC, HSC, INKS or the Event. I certify that I am in good health and that I am not pregnant. There is no physical condition, mental condition, disability impairment, or injury which would make it difficult or dangerous for me to participate in the Event. I understand that the LLC, HSC and INLS is relying on my statement of good health and condition in allowing me to participate in the Event.
MENTAL CAPACITY I have not consumed any alcohol or used any illegal drugs or that would affect my abilities during the past twenty-four hours, and I have received the required amount of sleep, and I am capable of entering into this Agreement. As well, I am able to safely participate in all available physical activities including but not limited to Driving a Motorized Vehicle, Swimming, Hunting, Fishing, Sporting Clays and/or any other Extreme Sport, Sports or other activities not listed.
EQUIPMENT DAMAGE In consideration for the LLC, HSC and INKS and the Event providing the activities and permitting me to enjoy and use its equipment, I agree that I am personally responsible for any damage to or loss of the LLC’s, HSC’s and INKS property or equipment which I cause. This responsibility includes but is not limited to any damage to or loss of any vehicle, equipment, protective gear, supplies and/or property which I damage or lose. The Agreement expressly includes damage caused by any collision between equipment, vehicles, or any other item listed previously in the Agreement to any other person or thing,
EFFECT OF RELEASE AND ENTIRE AGREEMENT I UNDERSTAND AND AGREE THAT BY SIGNING THIS AGREEMENT I AM VOLUNTARILY ASSUMING THESE RISKS AND FOREVER RELEASING AND WAIVING ANY RIGHT I MAY HAVE TO RECOVER DAMAGES, ATTORNEY FEES, COSTS OR OTHER AMOUNTS FROM THE LLC OR HSC, OR OTHER PERSONS RELATED TO THE LLC OR THE HSC FOR ANY INJURY OR HARM TO MYSELF OR OTHERS RESULTING FROM THE RISKS AND HAZARDS DESCRIBED ABOVE OR ANY ACTIVITY IN WHICH I MAY ENGAGE WITH OR AT THE EVENT. I UNDERSTAND THAT THIS AGREEMENT IS THE ENTIRE AGREEMENT BETWEEN THE LLC, HSC AND MYSELF, I HAVE READ THE ENTIRE AGREEMENT, UNDERSTAND IT, AND AGREE TO BE BOUND BY IT.
I UNDERSTAND THAT I MAY CONSULT AN ATTORNEY PRIOR TO SIGNING THIS AGREEMENT. I ALSO STIPULATE AGND AGREE THAT PERMISSION TO ENTER UPON THE PROPERTY DURING THE EVENT IS CONTINGENT UPON AND WILL NOT BE GRANTED ABSENT MY AGREEMENT TO EACH OF THE TERMS CONTAINED HEREIN.
PARTICIPANT SIGNATURE________________________________DATE______/______/__________
PRINTED NAME____________________________________________________________________
IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, I DECLARE THAT I AM THE PARENT OR GUARDIAN OF THE MINOR PARTICIPANT AND AGREE THAT THIS DOCUMENT WILL BIND THE MINOR PARTICIPANT’S AS WELL AS MY RIGHTS TO HOLD HARMLESS THE LLC, HSC, INKS AND THE EVENT AND ALL PERSONS RELATED TO THOSE ENTITIES,
PARENT/GUARDIAN SIGNATURE_________________________DATE______/______/__________
PRINTED NAME___________________________________________________________________