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 WAIVER AND RELEASE OF LIABILITY

You must complete our activity waiver prior to using any of our services or facilities.

Enter the Participants Basic Information

Parent Guardian Information

Complete this section if the participant is a minor

AMATEUR ATHLETIC MINOR WAIVER AND RELEASE OF LIABILITY [PLEASE READ AND ACCEPT IN ORDER TO PARTICIPATE]

In consideration of being allowed to participate in any activities at the BUCKLEY PERFORMANCE LLC facilities, the undersigned:

 

1. ACKNOWLEDGES AND FULLY UNDERSTANDS that each participant will be engaging in ACTIVITIES THAT INVOLVE RISK OF SERIOUS INJURY, INCLUDING PERMANENT DISABILITY AND DEATH to themselves and others, and severe social and economic losses might result not only from their own actions, inactions, or negligence, but the action, inaction, or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, there may be other risks not known to us or not reasonably foreseen at this time.

 

2. ASSUMES ALL OF THE FOREGOING RISK AND ACCEPTS PERSONAL RESPONSIBILITY FOR THE DAMAGES TO THEMSELVES following such injury, permanent disability, or death.

 

3. RELEASES, WAIVES, DISCHARGES, AND COVENANTS NOT TO SUE BUCKLEY PERFORMANCE LLC, its affiliated clubs, their respective administrators, owners, employees, directors, agents, coaches, volunteers and other representatives of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, all of which are hereafter referred to as “releases”, from any and all liability to each of the undersigned, his or her heirs and next-of-kin for any and ALL CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF INJURY, INCLUDING DEATH OR DAMAGE TO PERSONAL PROPERTY, CAUSED OR ALLEDGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

 

4. AUTHORIZES BUCKLY PERFORMANCE LLC to photograph or film any participant and consent to the use, without compensation, of participants’ likeness and image in any and all publications, materials, marketing, advertising, news media, and Web materials. Such materials, including all negatives, positives, digital images, and prints, shall become and remain the sole property of BUCKLEY PERFORMANCE LLC.

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