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LakePoint Sports Guest and Participant Waiver

LakePoint Code of Conduct:

All LakePoint visitors, guests (participants, players, coaches, team representatives) and fans MUST use good moral conduct during all events and any time on the LakePoint campus. Profanity and unsportsmanlike conduct will not be tolerated. Please note that all violations could result in ejection from the campus

I Agree

 

This Waiver, Release and Permission Agreement (hereinafter the “Agreement”) is executed by or on behalf of the individual participant indicated on the signature page hereto (such party hereinafter referred to as “Participant”) in favor of LAKEPOINT LAND, LLC, a Georgia limited liability company (hereinafter referred to as “LakePoint”) and the other Released Parties.

The undersigned Participant and/or Participant’s parent or legal guardian (“Guardian”) acknowledges that Participant and/or Guardian’s minor child or ward (hereinafter “Ward”) will engage in recreational activities taking place on the property of LakePoint and/or on the property of the Development Authority of Bartow County located in the City of Emerson, Bartow County, Georgia (hereinafter collectively the “Premises”) conducted by Released Parties, recognizes the inherent dangers associated therewith, and acknowledges that the use of the Premises is subject to the limitation of liability of Released Parties as set forth in O.C.G.A. § 51- 3-20 et seq. In consideration for the use of the Premises by Participant, the undersigned Participant for himself (or herself) and Guardian, hereby releases, indemnifies and forever discharges the Released Parties of and from any and every claim, demand, action or right of action, of whatever kind or nature, either in law or in equity arising from or by reason of death, bodily injury, illness or other personal injuries known or unknown, loss, or property damage resulting or to result from entering on the Premises and/or participating in the recreational activities on the Premises (the “Events”), whether or not such claim, death, loss, illness, injury or damage is caused by, or arises out of, in whole or in part, the negligent act or omission of any of the Released Parties.

Participant and, if applicable, Guardian, in consideration of the participation of Participant in the Events, wherever the Events may occur, acknowledge that I am aware that my or my Ward’s participation in the Events and/or any such related and associated activities may result in risks, which among other things, include but are not limited to scrapes, bruises, twisted ankles and various injuries to the body, including death, illness and heat and stress related issues, and Participant and, if applicable, Guardian freely assumes on Participant’s own and/or Ward’s behalf all risks incidental to such participation. In consideration of the participation of Participant in the Events and on Ward’s behalf, and on behalf of Participant’s and/or Ward’s heirs, executors, administrators and next of kin, Participant and, if applicable, Guardian hereby releases, covenant not to sue, and forever discharges the Released Parties of and from all liabilities, claims, actions, damages, costs and expenses of any nature arising out of, related to, or in any way connected with the participation of Participant in the Events and/or any such related and associated activities, and further agree to indemnify and hold each of the Released Parties harmless from and against any and all such liabilities, claims, actions, damages, costs and expenses including by way of example, but not limited to, all attorneys’ fees, costs of court, and the costs and expenses of other professionals and disbursements up through and including any appeal. Participant, and if applicable, Guardian understands that this Release and indemnity includes any claims based on the negligence (in whole or in part), action or inaction of any of the Released Parties and covers bodily injury (including, without limitation, death), illness, any medical or injury treatment whatsoever provided to Participant by or at the direction of any Released Party, property damage, and loss by theft or otherwise, whether suffered either before, during or after such participation. Participant and, if applicable, Guardian declares that Participant is physically fit and has the skill level required to participate in the Events and/or any such related and associated activities. Participant and, if applicable, Guardian further authorizes medical treatment for Participant, at Participant’s and/or Guardian’s cost, if the need arises.

Participant and, if applicable, Guardian represents and confirms to LakePoint that:

  1. Participant and, if applicable, Guardian understands that the symptoms of the novel coronavirus (“COVID-19”) include (but are not limited to) fever, fatigue, cough, and shortness of breath.
  2. Neither Participant nor any of Participant’s household members has or has had within the last fourteen (14) days any of the symptoms of COVID-19.
  3. Neither Participant nor any of Participant’s household members has been diagnosed with COVID-19 within the last fourteen (14) days.
  4. Neither Participant nor any of Participant’s household members has been knowingly exposed to anyone diagnosed with COVID-19 within the last fourteen (14) days.
  5. Neither Participant nor any of Participant’s household members has traveled outside of the country within the last fourteen (14) days.

Participant and, if applicable, Guardian acknowledges the contagious nature of COVID-19 and the risk that Participant may be exposed to or infected by COVID-19 by entering the Premises and that such exposure or infection may result in personal injury, illness, permanent disability, and death of Participant or others.  Participant and, if applicable, Guardian agrees to assume all risks of such exposure.  Participant and, if applicable, Guardian understands that the risk of becoming exposed to or infected by COVID-19 at the Premises may result from the actions, omissions, or negligence of Participant and others, including, but not limited to, the Released Parties’ employees, volunteers, and program participants and their families. 

In consideration of Participant being permitted to enter the Premises, and on behalf of Participant’s heirs, executors, administrators and next of kin, Participant, and if applicable Guardian on Participant’s behalf, hereby releases, indemnifies and forever discharges the Released Parties of and from any and every claim, demand, action or right of action, of whatever kind or nature, either in law or in equity arising from or by reason of personal injury, illness, permanent disability, death or other loss resulting or to result from exposure to COVID-19 as a result of entering on the Premises and/or participating in any recreational activities on the Premises, whether or not such claim, injury, illness, disability, death or other loss is caused by, or arises out of, in whole or in part, the negligent act or omission of any of the Released

In consideration of Participant being permitted to enter the Premises, Participant agrees to adhere to the Safety Guidelines for LakePoint and the venue(s) they will be entering, which can be found at:  https://www.lakepointsports.com/safetyguidelines/.  If applicable, the undersigned Guardian agrees to ensure that Participant is aware of such Safety Guidelines and will adhere to them.

For the purposes hereof, the following definitions apply:

“Released Parties” are: LakePoint Land, LLC, LP Indoor Pavilion, LLC, PBRLP LLC, The Development Authority of Bartow County, Bartow County, Georgia,  Rally Volleyball, LLC, and their affiliates, parent companies, venturers, subsidiaries, successors, assigns, agents, servants, officers, members, officers, principals and employees, all independent contractors, all sponsors, and each of their employees, officers, directors, principals, agents, representatives, volunteers, contractors, successors, and assigns.

AUTHORIZATION AND RELEASE TO USE:

Participant and, if applicable, Guardian further grants the Released Parties the right to photograph and/or videotape Participant and further to display, use and/or otherwise exploit the name, face, likeness, voice, and appearance of Participant forever and throughout the world, in all media, whether now known or hereafter devised (including, without limitation, in online web casts, television, motion pictures, films, newspapers, and magazines) and in all forms including, without limitation, digitized images, whether for advertising, publicity, or promotional purposes, including, without limitation, publication of Events results and standings, without compensation, reservation or limitation. LakePoint has developed a Privacy Statement in order to inform you of its practices with respect to the collection, use, disclosure and protection of personal information and email addresses. A copy of the Privacy Statement, which is incorporated herein by reference into this Agreement, is available upon request.

This Agreement shall be governed by the laws of the State of Georgia. Venue for any litigation which relates to or arises out of the Events, this Agreement or its breach will be exclusively in the United States District Court for the Northern District of Georgia, Rome Division or a court of competent jurisdiction for Bartow County, Georgia, with Participant and, if applicable, Guardian expressly consenting to venue and personal jurisdiction in Bartow County, Georgia and waiving any rights to begin, defend, or remove any such litigation in any other forum or venue. Participant certifies that Participant is eighteen (18) years of age or older and, Guardian, if Guardian is executing this Agreement on behalf of Participant, the information set forth above pertaining to Participant is true and complete and that the party signing has all due legal authority to sign this Agreement on its or Wards behalf.

If any provision of this Form shall be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Form and shall not affect the validity and enforceability of any remaining provisions. BY SIGNING BELOW, PARTICIPANT AND, IF APPLICABLE, GUARDIAN REPRESENTS AND WARRANTS THAT PARTICIPANT HAS READ, UNDERSTOOD AND ACCEPT ALL THE CONDITIONS CONTAINED IN THIS AGREEMENT.

 

First Guests Name

First Name*

Middle Name

Last Name*

Phone*
First Guests Date of Birth*
First Guests Signature*
Second Guests Name

First Name*

Middle Name

Last Name*
Second Guests Date of Birth*
Third Guests Name

First Name*

Middle Name

Last Name*
Third Guests Date of Birth*
Fourth Guests Name

First Name*

Middle Name

Last Name*
Fourth Guests Date of Birth*
Fifth Guests Name

First Name*

Middle Name

Last Name*
Fifth Guests Date of Birth*
Sixth Guests Name

First Name*

Middle Name

Last Name*
Sixth Guests Date of Birth*
Seventh Guests Name

First Name*

Middle Name

Last Name*
Seventh Guests Date of Birth*
Eighth Guests Name

First Name*

Middle Name

Last Name*
Eighth Guests Date of Birth*
Ninth Guests Name

First Name*

Middle Name

Last Name*
Ninth Guests Date of Birth*
Tenth Guests Name

First Name*

Middle Name

Last Name*
Tenth Guests Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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