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Waiver of Liability and Hold Harmless Agreement 

This is the Amtgard general waiver and constitutes informed consent to participate in all Amtgard events and functions. This form must be filled out and turned into the Prime Minister before participation in an Amtgard event or function.

1. I, in consideration for myself, receiving permission to participate in Amtgard, hereby release, waive and discharge all people involved with or associated with Amtgard (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by myself or to any property in the possession of myself, while participating in Amtgard, or while in, on, upon, or traveling to or from any program activity where Amtgard is being conducted. 2. I am fully aware of the risks and hazards connected with allowing myself to participate in this activity, including the risk of physical injury or disability as the result of such injury, and I hereby allow myself to voluntarily participate in said activity. I voluntarily assume full responsibility of any risk of loss, property damage, or personal injury that may be sustained by myself, or any loss or damage to property in the possession of myself, as a result of being engaged in such activity.

3. I further agree to indemnify and hold harmless the Releasees from any loss, liability, damage, or costs that may incur due to my participation in said activity.

4. It is my express intent that this Waiver of Liability and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assigns, and personal representatives, if I am not alive, and shall be deemed a release, waiver, and discharge above named Releasees. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the state laws of California and Nevada.

5. I understand the Releasees will not be held responsible for any medical costs associated with an injury myself may sustain.

6. I further agree to become familiar with the rules and regulations for my conduct and agree that I will not violate said rules or any directive or instruction made by the persons in charge of said program and that I will further assume the complete risk of any activity done in violation of said rule, directive, or instruction.

7. I also understand that I am urged to obtain adequate health and accident insurance to cover any personal injury to myself which may be sustained during the program or transportation to or from said program and activities.

8. "I understand that photos are taken in amtgard events, and often used for promotional purposes for player recruitment. I understand and consent that photos containing me may be used for these purposes."

9. If any information below is found to be false, your membership can be terminated without notice.

In signing this release, I acknowledge and represent that I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it, and sign it voluntarily as my own free will and deed: no oral representations, statements, or inducements, apart from the foregoing agreement have been made; I am at least eighteen (18) years of age and fully competent; and I execute the release for full, adequate, and complete consideration, fully intending to be bound by the same.

All items with an * are required

* I certify that I am not on a sex offender registry nor currently under investigation for a sexual offense:

Today's date: April 23, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
PRESENT OR UPLOAD IDENTIFICATION FOR PERSONAL VERIFICATION
  
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Valid file types: JPG, GIF, PNG, and PDF

Drivers License or Valid ID Number *

Expiration Date (ID must not be expired to be accepted) *
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
How did you hear about us?
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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*

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Preferred Name
Please select preferred pronouns*

Amtgard Persona Name
Joining
Transferring
Updating Waiver

For Transfers: Date originally joined Amtgard
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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