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THIS IS A RELEASE OF LIABILITY-READ BEFORE SIGNING THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN ANY LASERBLITZ EVENT PARTICIPANTS NAME___________________________________DATE OF BIRTH_______________
IN CONSIDERATION of being permitted to participate in any way in the sport and activities of LASERBLITZ under the auspices of MONTGOMERY ACTION GAMES, LLC, I acknowledge, appreciate, and agree that:
I HAVE READ THIS RELEASE OF LIABLITY 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. X__________________________________________ Date Signed______________ Phone #___________ PARTICIPANTS SIGNATURE ___________________________________________ ___________________________ ______________ ADDRESS CITY, STATE ZIP CODE FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant do consent and agree not only to his/her release of MONTGOMERY ACTION GAMES, LLC and all other releasees but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin. X____________________________________________________________ _______________________ PARENT/GUARDIANS SIGNATURE EMERGENCY PHONE # Date signed______________________________
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