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2012 News-Herald Senior Bowl waiver form

2012 News-Herald Senior Bowl waiver form

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Published by: The News-Herald on Jan 12, 2012
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01/12/2012

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THE NEWS-HERALD SENIOR BOWL 2012' WAIVER AND RELEASE OF LIABILITY FORM

Note: This form must be signed before participant is allowed to take part in any training, competition, meeting, or testing sessions. By signing this form, the participant affirms having read it.

Participant's Name (please Print):

_

In consideration of my involvement and participation in The News-Herald Senior Bowl 2012, I acknowledge, recognize and agree that: 1 I am aware that practicing, playing or any other form of participation in any sport can be a dangerous activity involving many risks of injury. 2 I understand that the dangers and risks of playing football and participating in The News-Herald Senior Bowl
2012 include, but are not limited to, serious neck and spinal injuries which may result in complete or partial paralysis,

brain damage, serious injury to virtually all bones, joints, ligaments, muscles, tendons and other aspects of the muscular-skeletal system, serious injury or impairment to other aspects of my body, general health and well being, and the possibility of death. 3 I also understand that the dangers and risks of playing football and participating in The News-Herald Senior Bowl 2012 may result not only in serious injury, but in a serious impairment of my future abilities to earn a living and to engage in business, social and recreational activities and generally to enjoy life. 4 5 I knowingly and freely assume all such aforementioned risks.

Because of the dangers associated with playing football and participating in The News-Herald Senior Bowl 2012, I recognize the importance of listening to and following all of the coach's instructions and warnings regarding playing techniques, training methods, rules of the sport and other team rules. I understand that all instructions and warnings, verbal or written, are incorporated by reference into this agreement and I hereby expressly promise to obey all such instructions and warnings. 6 In consideration for The News-Herald permitting me to participate in The News-Herald Senior Bowl 2012, I hereby voluntarily assume all of the risks and hazards associated with such participation and I hereby agree to waive all claims of whatever nature, now and forever, for myself, and on behalf of my estate, heirs, assigns, executors and next of kin. I further acknowledge that in consideration for my participation, I, for myself, and on behalf of my estate, heirs, assigns, executors and next of kin release, hold harmless and discharge The News-Herald, its officers, trustees, agents, servants, employees, successors and assigns, any

sponsors of The News-Herald Senior Bowl 2012, coaches, athletic staff, assistant coaches, athletic trainers, stadium staff, officials and team physicians with respect to any and all such injury, paralysis, dismemberment, death and/or loss or damage to property resulting from my participation in The News-Herald Senior Bowl 2012.

I have read the above WAIVER AND RELEASE OF LIABILITY FORM. In signing this document, I understand that I have given up substantial rights by signing it and sign voluntarily.

Participant Signature

Date Signed

This is to certify that I, as parent/guardian of this participant, do consent to his/her release of the The News-Herald and the related and/or affiliated persons or entities specified above from any and all liabilities incident to his/her involvement in The News-Herald Senior Bowl 2012 and any related practices. I have read the above WAIVER AND RELEASE OF LIABILITY FORM. In signing this document, I understand that I have given up substantial rights by signing it and sign voluntarily.

Parent / Guardian Signature

Date Signed

Parent / Guardian Name (Please Print)

Relationship

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