Home
Team Store
Schedule
Blue Line Battle
About
Locations
Staff
Home
Team Store
Schedule
Blue Line Battle
About
Locations
Staff
Registration - Liability Waiver
Liability Waiver
You must complete this form to participate in Gambrills Athletic Club activities. Please read carefully below!
Player Birth Date
Registrant Name
Registrant Address
City, State Zip
Choose State or Province
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Mid East
Armed Forces Americas
Armed Forces Pacific
British Columbia
Bahamas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Marshall Islands
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland/Labrador
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nunavut
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Registrant Phone
Registrant Email
Team Select
Please Select
Gambrills Athletic Club
Player Parent / Emergency Contact 1 - Full Name
Player Parent / Emergency Contact 1 - Mobile Number
Player Parent / Emergency Contact 2 - Full Name
Player Parent / Emergency Contact 2 - Mobile Number
Comments
Waiver/Release
AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY READ BEFORE SIGNING
In consideration of being allowed to participate in any way in
Gambrills Athletic Club athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees
that:
1) The risk of injury from the activities involved in this program is significant, including the potential for
permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove
myself and or my child/children from participation and bring such to the attention of the nearest official immediately; and,
4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Gambrills Athletic Club their directors, officers, officials, agents, volunteers and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY,
DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT THE TIME OF REGISTRATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
I have read and agree to all terms and conditions above
Parent or Guardian Initials for Consent