Track Athletic Waiver

indicates a required answer

1. *	Date

Participant Name

2. *	Parent/Guardian Name

3. *	Parent/Guardian Relationship to the Participant

4. *	Parent/Guardian Phone Number

5. *	Address of Participant

6. *

Signature of Parent or Guardian

I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND WE HEREBY SIGN IT VOLUNTARILY.

By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

AMATEUR ATHLETIC MINOR WAIVER

AND RELEASE OF LIABILITY

In consideration of being allowed to participate in any way In the IGNITED athletics/sports program, and related events and activities, the undersigned:

1. Agrees that the parent(s), and/or legal guardian(s), will instruct the minor participant that prior to participating, he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise his team manager or supervisor of such condition and refuse to participate.

2. ACKNOWLEDGES AND FULLY UNDERSTANDS that each participant will be engaging in ACTIVITIES THAT INVOLVE RISK OF SERIOUS INJURY, INCLUDING PERMANENT DISABILITY AND DEATH, 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 know to us or not reasonably foreseen at this time.

3. ASSUMES ALL OF THE FOREGOING RISK AND ACCEPT PERSONAL RESPONSIBILITY FOR THE DAMAGES following such injury, permanent disability or death.

4. RELEASES, WAIVES, DISCHARGES, AND COVENANTS NOT TO SUE IGNITED its affiliated clubs, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers 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 PROPERTY, CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.