RELEASE OF LIABILITY, ASSUMPTION OF RISK AND IMAGE RELEASE AGREEMENT

By June 6, 2013Uncategorised

In consideration of the services of Mighty Titan, LLC their agents, owners, officers, affiliates, volunteers, participants, employees, licensees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as Might Titan), I hereby agree to release, indemnify and discharge Mighty Titan on behalf of myself, my spouse, my child and/or children, my heirs, assigns, personal representatives and estate as follows:

I understand and acknowledge that participation in Mighty Titan activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death or other damage to myself, my child and/or children, or ward, or to our property or to third parties.  
On behalf of myself, my child and/or children, or ward, I knowingly, voluntarily and freely assume and accept all such risks, both now and unanticipated, even if arising from the negligence of Mighty Titan, as hereinafter defined, or other, and assume full responsibility for myself, my child and/or children, or ward’s participation in the Event.
I hereby voluntarily release, forever discharge and agree to indemnify and hold harmless Mighty Titan from any and all claims, demands or causes of action which I, my child and/or children, or my ward, may sustain while on the premises of Mighty Titan activities or my use of Mighty Titan equipment or facilities.   This release pertains to any and all claims alleging negligent acts or omissions by Mighty Titan.
Should Mighty Titan or anyone action on behalf of Mighty Titan be required to incur attorney’s fees and costs to enforce this agreement, including to defend or respond to any claim which I have waived or from which I have released Mighty Titan hereunder, I agree to indemnify and hold Mighty Titan harmless for all such fees and costs.
I certify and represent that I, my child and/or children, or my ward is/are physically fit and able to participate in the Event and suffer(s) from no existing medical or physical condition which could result in illness or injury by participating in this Event. I further certify that on the date of the Event, I, or my child and/or children will be covered by medical/health insurance or I will otherwise assume full responsibility therefore.
I consent to the administration of first aid and other medical treatment in the event of injury or illness to me, my child and/or children, or my ward, in connection with participation in the Event and hereby release and indemnify Mighty Titan from any and all liability or claims arising out of such treatment.
Mighty Titan reserves the right in their sole discretion and determination, to postpone, cancel or modify the Event due to weather conditions or other factors beyond the control of Mighty Titan that might affect the health and/or safety of the participants.  No refunds will be granted.
I grant Mighty Titan the right to photograph, videotape and/or record me, my child and/or children, or my ward, and to use our names, faces, likenesses, voices and appearances for any legitimate purpose in perpetuity and I understand that I, my child and/or children, or my ward, will not be entitled to any compensation therefore.

I HAVE READ THIS RELEASE OF LIABILITY, ASSUMPTION OF RISK AND IMAGE RELEASE AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS.  I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT FREELY AND VOLUNTARILY.

__________________________________________________    
Participant, Parent or Guardian, Volunteer (print)

__________________________________________________    Date:  _________________________
Participant, Parent or Guardian, Volunteer (signature)    

    
_________________________________            ______________    
Name Of Participant                     Age                

 _________________________________            ______________    
Name Of Participant                     Age                 

_________________________________            ______________    
Name Of Participant                     Age                 

________________________________________            ________________________    
Address                             Telephone                  

________________________________________    ________________________
    Emergency Contact            Telephone
          

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