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WAIVER AND RELEASE; COVENANT NOT TO SUE; INDEMNITY AND HOLD HARMLESS, ASSUMPTION OF RISKS, AND VOLUNTARY PARTICIPATION AND INFORMED CONSENT AGREEMENT READ THIS DOCUMENT CAREFULLY - IT AFFECTS YOUR RIGHTS! 

ALL VISITORS TO THIS SITE MUST COMPLETE THIS WAIVER

 

Waiver

In consideration of being permitted to participate in the activities and events operated at or by the Dragoon Trail Chapter, Inc. of the Izaak Walton League, the Iowa Division of the Izaak Walton League of America, the Izaak Walton League of America, the Ankeny Ikes Practical Shooters (AIPS), or any of their affiliate organizations (hereinafter collectively referred to as “the ANKENY IKES”) including, without limitation, shooting, training, learning, practicing, competing, working, observing, spectating, or for any other purpose (hereinafter collectively “EVENTS”) and/or IN CONSIDERATION OF my being permitted to enter into or upon the premises, locations, and facilities where said EVENTS are or may be taking place, I, on behalf of myself, and on behalf of my personal legal representatives, assigns, heirs, and next of kin (hereinafter collectively “THE UNDERSIGNED”) hereby:

 

1. WAIVER AND RELEASE. RELEASE, WAIVE AND DISCHARGE the ANKENY IKES, their respective directors, members, officers, employees, operators, organizers, sponsors, hosts of the EVENTS, officials, range officers, insurers, consultants, volunteers, independent contractors, agents and legal representatives, and their respective heirs, successors, and assigns (hereinafter collectively “THE RELEASEES”) from any and all liability to THE UNDERSIGNED on account of, arising out of, or in connection with any and all injuries, losses or damages, and any claims or demands for any injuries, losses or damages, to the person or property of THE UNDERSIGNED or resulting in the death of THE UNDERSIGNED, whether or not caused by the active negligence or fault, passive negligence or fault, or sole negligence or fault of THE RELEASEES, while THE UNDERSIGNED is on the property, using the property, facilities and services thereon, or participating in any way in any of the EVENTS thereon;

2. COVENANT NOT TO SUE. AGREE NOT TO SUE THE RELEASEES, on account of, arising out of or in connection with any and all injuries, losses or damages to the person or property of THE UNDERSIGNED, or resulting in death of THE UNDERSIGNED, whether or not caused by the active negligence or fault, passive negligence or fault, or sole negligence or fault of THE RELEASEES, while THE UNDERSIGNED is on the property, using the property, facilities and services thereon, or participating in any way in any of the EVENTS thereon;

3. INDEMNITY AND HOLD HARMLESS. AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE RELEASEES, from any loss, liability, damage or cost they incur (including attorneys' fees and court costs), or any claim or lawsuit filed against them, on account of, arising out of, or in connection with the presence of THE UNDERSIGNED or THE UNDERSIGNED’s guest(s) on the property, or THE UNDERSIGNED or THE UNDERSIGNED’s guest(s)’ use of the property or of the facilities and services thereon, or THE UNDERSIGNED's or THE UNDERSIGNED’s guest(s)’ participation in any way in any of the EVENTS thereon, whether or not caused by the active negligence or fault, passive negligence or fault, or sole negligence or fault of THE RELEASEES; THE UNDERSIGNED also agrees to pay the Ankeny Ikes for any and all damage to their respective property, facilities and equipment caused by THE UNDERSIGNED or THE UNDERSIGNED’s guest(s);

4. EXPRESS ASSUMPTION OF RISKS. ASSUME ANY AND ALL RISKS of injury, death, loss or damage to the person or property of THE UNDERSIGNED, whether or not caused by the active negligence or fault, passive negligence or fault, or sole negligence or fault of THE RELEASEES, while THE UNDERSIGNED is on the property, using the property, facilities and services thereon, or participating in any way in any of the EVENTS thereon;

5. VOLUNTARY PARTICIPATION AND INFORMED CONSENT. Acknowledge that there are inherent dangers related to the EVENTS which may result in loss or damage to my person or property or result in my death. I agree that I will not participate in the EVENTS or otherwise utilize the facilities if such participation would, or could, constitute a violation of any provision of local, state, or federal law. I agree that I will not participate in the EVENTS or utilize the facilities if I am under the influence of drugs or alcohol, or if there is any other mental or physical condition that may impair my ability to understand instructions or to participate without creating risk to others or myself. I agree that I have been informed that my PERSONAL SAFETY CANNOT BE GUARANTEED. I further agree that I will: (1) fully abide by all range rules, regulations and policies of the ANKENY IKES, and follow any and all directions provided by the ANKENY IKES, their range officers, match directors, club officers and directors; (2) fully disclose any health issues or medications that are relevant to participation in the EVENTS; (3) inform the ANKENY IKES if there are any activities or aspects of the EVENTS about which I do not feel comfortable; (4) cease participation and promptly report any unusual feelings or physical discomfort; and (5) clear my participation with my physician beforehand. THE UNDERSIGNED bears responsibility to obtain, review, and follow all rules and regulations and instructions associated with the EVENTS.

6. SEVERABILITY; CHOICE OF LAW. This Agreement is intended to be as broad and inclusive as is permitted by law, and it is intended to be fully severable. If any portion of this Agreement is held invalid, it is agreed that the balance of the Agreement shall continue in full legal force and effect. That shall include modifying the agreement to allow the remainder of claims to be waived, released, and indemnified against in the event that the inclusion of any particular type of claim is found to be invalid or contrary to public policy. This Agreement is to be interpreted under and governed by the laws of the State of Iowa.

I HAVE READ THIS AGREEMENT FULLY, UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY AND WITHOUT INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME and I intend my acceptance to be a complete, continuing and uncontrolled release of all liability to the greatest extent allowed by law. If I am agreeing this Agreement on behalf of any minor participant, I hereby represent and warrant to the RELEASEES that I am the parent or legal guardian of the minor participant with full rights to act as such under all applicable laws.

 

I HAVE READ AND UNDERSTOOD THE WAIVER, AND I AGREE TO BE BOUND BY ITS TERMS.

 
I Agree

December 9, 2019

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
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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.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

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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