SHOOTOUT FOR SOLDIERS

Event will be held at UMASS Lowell at the address: 1 University Ave, Lowell, MA 01854

EMERGENCY, MEDICAL AND LIABILITY RELEASE FORM

MEDICAL INSURANCE INFORMATION:

It is hereby understood and agreed that primary, Personal Health & Medical Insurance will be maintained on behalf of the event participant (as follows). Shootout for Soldiers provides no accident or medical insurance for any participant and bears no responsibility for such.

AS A GENERAL RULE, WE WILL ATTEMPT TO CONTACT THE PARENTS/LEGAL GUARDIANS/ RESPONSIBLE RELATIVES-NEIGHBORS FIRST. IN THE EVENT CONTACT CANNOT BE MADE, I UNDERSTAND AND HEREBY AUTHORIZE AND CONSENT THAT SHOOTOUT FOR SOLDIERS (including their agent and/or representatives) MAY OBTAIN EMERGENCY MEDICAL TREATMENT FOR MY CHILD, OR MYSELF AS A PARTICIPANT.

I FURTHER AGREE TO PAY AND TO HOLD HARMLESS, THE EVENT COORDINATORS AND SHOOTOUT FOR SOLDIERS ON ACCOUNT OF ANY MEDICAL, DENTAL, HOSPITAL, TRANSPORTATION, OR OTHER RELATED MEDICAL CHARGES INCURRED ON BEHALF OF THE CHILD- OR YOURSELF.

WAIVER AND RELEASE

Please read this form carefully and be aware that by registering for and having your child participate in this event, you will be waiving all claims for injuries to your child or yourself as a participant that may be sustained arising out of event participation. Please complete this form. You will not be admitted without this form completed.

I recognize and acknowledge that there are certain risks of physical injury to participants in sports events and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims against Shootout for Soldiers, its affiliates, event coordinators, volunteers, and employees that I or my minor child/ward may have (or may accrue to me or my minor child) as a result of participation.

I do hereby fully release and forever discharge Shootout for Soldiers and its facilities, from any and all claims for injuries, damages or loss that my child or I may have or which may accrue to me or my minor child arising out of, connected with, or in any way associated with event participation.

I understand that Shootout for Soldiers retains the right to use for publicity and advertising purposes, any photographs and videography taken at the event.

I have read and fully understand the above “Waiver and Release” of all claims.