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RELEASE OF LIABILITY - READ BEFORE SIGNING
In consideration of being allowed to participate in the Eric
Stocz All-Star Speed and Strength Camp 2009 (Eric Stocz, LLC) at West
Bloomfield High School, (hereinafter “facilities”),
I___________________________________, the undersigned,
acknowledge, and agree 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 skills, equipment and personal discipline may
reduce the risk, the risk of 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 RELEASES, 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 the participation. If, however, I observe any unusual
significant hazard during my presence or participation, I will remove myself
from participation and bring such to the attention of the Facilities
immediately; and
4. I, for myself and on behalf of my heirs, assigns,
personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY AND HOLD
HARMLESS ERIC STOCZ, individually, and ERIC STOCZ, LLC, a Michigan Limited
Liability Company, its officers, officials, agents and/or employees, other
participants, sponsoring agencies, sponsors, advertisers, and if applicable,
owners and lessors of premises used for the activity (”Releases”), WITH RESPECT
TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or
property associated with my presence or participation, WHETHER ARISING FROM THE
NEGLIGENCE OF THE RELEASES 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.
___________________________________ Age _____ Date: __________
Participant’s Signature
___________________________________ Date _____________________
Legal Parent or guardian (Must be 18 years of age or older) |