X hits on this document

Word document

RULES AND REQUIREMENTS. I agree to conduct myself in accordance with BREVARD - page 4 / 4

8 views

0 shares

0 downloads

0 comments

4 / 4

to fully explain any terms of this Agreement to me before I sign it.

SEVERABILITY: If any term or provision of this Agreement shall be held illegal, unenforceable, or in conflict with any law governing this Agreement the validity of the remaining portions shall not be affected thereby.

I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND AND AGREE TO ITS TERMS. I AM AWARE THAT THIS AGREEMENT INCLUDES A RELEASE AND WAIVER OF LIABILITY, AN ASSUMPTION OF RISK, AND AN AGREEMENT TO INDEMNIFY THE RELEASEES. I UNDERSTAND I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. BY MY SIGNATURE I REPRESENT THAT I AM OF A LEGAL AGE CAPABLE OF CONSENT OR, IF NOT, THAT I HAVE SECURED BELOW THE SIGNATURE OF MY PARENT OR GUARDIAN AS WELL AS MY OWN.

Date: _______________________________ ________________________________________

(Signature of Participant)

________________________________________

(Printed Name of Participant)

Signature of Parent/Guardian for Participants Who are Minors:

I certify that I have custody of Participant or I am the legal guardian of Participant by court order. I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS. I AM AWARE THAT THIS AGREEMENT INCLUDES A RELEASE AND WAIVER OF LIABILITY, AN ASSUMPTION OF RISK, AND AN AGREEMENT TO INDEMNIFY THE RELEASEES. I join with Participant in granting a release to Releasees as set forth in detail above.

Date: _______________________________ ________________________________________

(Signature of Parent or Guardian, if under 18)

________________________________________

Printed Name of Parent or Guardian)

Received by:

Date: ________________________ ________________________________________ (Signature)

________________________________________

(Printed Name of Institution Official)

Document info
Document views8
Page views8
Page last viewedSun Dec 04 10:13:51 UTC 2016
Pages4
Paragraphs44
Words1968

Comments