In consideration for the privilege of allowing me and/or my minor child to participate in an organized event aboard Marine Corps Base Camp Lejeune and/or Marine Corps Air Station New River, North Carolina, I, the undersigned person, intending to be legally bound and recognizing the voluntary nature of my participation, hereby agree to and promise the following:
1. I have full knowledge of and understand the risks associated with participating in this event. I understand that there is a risk of loss or damage to my property. I understand that there is a risk of serious injury, permanent disability and even death. I understand that participation in an activity aboard a military installation carries with it certain inherent risks and dangers in addition to those inherent to the activity in which I (or my minor child) intend to participate. I accept full responsibility for the total costs of any damage to my property or for any medical treatment required for any injury I (or my minor child) may sustain. I understand that, should I decline to execute this agreement, neither I nor my minor child will be permitted to participate in this event.
2. With these dangers in mind, I fully and voluntarily assume the risks involved in my presence aboard Marine Corps Base Camp Lejeune/MCAS New River and the risks involved in my (or my minor childs) participation in the activity stated above. In doing so, I understand that I am waiving on behalf of myself and all of my guardians, executors, administrators, legal representatives, successors, heirs or assigns all rights and claims for damages, demands, and any other actions stemming from any loss, damage or injury to my (or my minor childs) person or property that may arise from my (or my minor childs) participation or presence aboard Marine Corps Base Camp Lejeune/MCAS New River. I agree to release from liability and hold harmless the United States Government and all of its agencies and departments, to include (but not limited to) the Department of Defense and the Department of the Navy. I also agree to release from liability and hold harmless the United States Marine Corps and all subordinate units and commands thereof, to include (but not limited to) U.S. Marine Forces Command; Marine Corps Installations East; Marine Corps Base Camp Lejeune; Marine Corps Air Station New River; Marine Corps Community Services; Second Marine Expeditionary Force; Second Marine Division; Second Marine Logistics Group; and Semper Fit. Finally, I agree to release from liability and hold harmless all commanders, officers, supervisors, military service members, employees and other agents of the United States Government or any subdivision thereof, and promise not to prosecute any of the aforementioned persons or their agents or representatives, successors or assigns in either their official or personal capacities.
3. I also understand and agree that I may be held liable for any damage, injury or loss to the United States Government that is caused by my own negligence, willful misconduct or fraud. Furthermore, I understand and agree that I may be held liable for any damage, injury or loss to any third party that is caused by my own negligence, willful misconduct or fraud. Finally, I promise to indemnify the United States Government and any of its agents or assigns for any cause of action arising out of my negligence, willful misconduct or fraud while aboard Marine Corps Base Camp Lejeune/MCAS New River or while participating in this event.
4. [If participant is a minor, a parent or legal guardian must sign!] I, as the parent or legal guardian of the undersigned minor participant, hereby agree to indemnify the United States Government and all of its agencies, departments and employees against any and all liability, claims, suits, losses, costs, and legal fees caused by, arising out of, or resulting from either the minors participation in the event, the minors presence aboard Marine Corps Base Camp Lejeune/MCAS New River, or any negligent act by the minor while participating in the organized event aboard base.
5.Image Release Form
In consideration of participation in the Marine Corps Community Services Recreation Program, the undersigned
agrees that their likeness, or the likeness of their child/ward may be photographed or videotaped and that such
image may be published in an outlet used to promote or publicize the sports/recreational program.
May 25, 2019