STAFF WAIVER

This Waiver is made on February 18, 2063

BETWEEN:

• Johann Harvey

• [YOUR COMPANY NAME]

• Address: [YOUR COMPANY ADDRESS]

AND:

• Participant Name: Clint Renner

• Address: Philadelphia, PA 19102

• Emergency Contact: Jane Renner (Mother) - Phone Number: 222 555 7777

1. Acknowledgment of Risk

I, the undersigned participant, acknowledge and understand that participation in sports and recreational activities involves inherent risks, including but not limited to:

• Physical injuries (sprains, fractures, etc.)

• Emotional stress

• Accidents due to equipment failure

• Risks related to weather conditions

2. Waiver of Liability

In consideration of being allowed to participate in the above-mentioned activities, I hereby agree to the following:

• I voluntarily release, waive, and discharge [YOUR COMPANY NAME], its employees, agents, and representatives from any and all claims, demands, or causes of action that I may have for personal injuries, property damage, or wrongful death arising out of or in connection with my participation in the activities.

• This waiver applies to all claims, known or unknown, arising out of my participation, whether caused by the negligence of [YOUR COMPANY NAME] or otherwise.

3. Indemnification

I agree to indemnify and hold harmless [YOUR COMPANY NAME] from any and all claims, actions, damages, or liabilities arising out of my participation in the activities, including any claims brought by other participants.

4. Medical Emergency

I authorize [YOUR COMPANY NAME] to obtain medical treatment for me in the event of an emergency. I understand that I am responsible for any medical expenses incurred.

5. Photographic Release

I grant [YOUR COMPANY NAME] permission to use photographs or videos taken during activities for promotional purposes. I understand that I will not receive any compensation for the use of these images.

6. Governing Law

This Waiver shall be governed by the laws of the state of [State Name]. If any provision of this Waiver is found to be unenforceable, the remaining provisions shall remain in full force and effect.

7. Acknowledgment of Understanding

I have read this Waiver and fully understand its contents. I am aware that this is a release of liability and a contract between me and [YOUR COMPANY NAME]. I sign this Waiver of my own free will.

Clint Renner

Participant

Date: February 18, 2063

Jane Renner

Guardian

(if participant is under 18)
Date: February 18, 2063

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Important Notes:

• Ensure that the waiver is presented clearly and that participants have the opportunity to ask questions before signing.

• Consider consulting with a legal professional to tailor the waiver to specific needs or state laws.

• Keep signed waivers on file for record-keeping and legal protection.

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