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PITCH, LLC.
Assumption of Risk – Waiver of Liability – Indemnification Agreement

In consideration of being permitted to be present at, attend, observe, and participate in the PITCH, LLC., activities, including, but not limited to, camps, clinics, leagues, parties, corporate and group events, games, inflatables, soccer, baseball, lacrosse, flag football, football, ultimate frisbee, and field hockey (“Activities”), at the PITCH facility located at 2606 Camden Road, Warren,Maine 04864 or any other location, I, for myself and for my child(ren) (collectively referred to herein as “me,” “I,” or “my”), personal representatives, assigns and heirs: 

1. Acknowledge, agree, and represent that I understand the nature of the Activities and that I am qualified, in good health, and in proper physical condition to participate in them. I further agree and warrant that if at any time I believe conditions to be unsafe, or if at any time my health suffers, I will immediately discontinue participation, and leave if appropriate. 

2. Authorize PITCH, its respective owners, investors, members, managers, shareholders, agents, directors, officers, volunteers, employees, landowners, subsidiaries, and affiliated companies (collectively, "Releasees") and medical care provider(s) to carry out any emergency medical transport or medical care for me, as may be necessary in their sole discretion, and agree to be fully responsible for any costs associated with such transport and care. I acknowledge and agree that PITCH is not responsible for any injuries resulting from medical care PITCH authorizes, and I agree to indemnify and hold PITCH harmless for any such injury. 

3. Understand that it is my responsibility to comply with all posted and published procedures, including safety and hygiene procedures and protocols intended to lessen the likelihood of the spread of disease among participants and staff. I further understand that it is my responsibility to comply with all laws and other requirements imposed by federal, state, and local authorities. 

4. UNDERSTAND THAT THE ACTIVITIES ARE DANGEROUS AND MAY POSE RISKS AND DANGERS, including, but not limited to, falling or loss of balance; striking padded or unpadded surfaces; being injured by equipment; being injured by the actions or inactions of other participants, PITCH employees, or bystanders; collisions with other participants, PITCH employees, or bystanders; falls due to slick or uneven surfaces; equipment failures of any kind; equipment misuse by myself or others; injury or illness due to dehydration; potential exposure to communicable disease (including but not limited to coronavirus/COVID-19, other viruses, bacteria, and all other infectious pathogens and disease vectors); and physical injury or illness as a result of physical activity or being on the premises where the Activities take place, which risks may result in SERIOUS BODILY INJURY, including, but not limited to, cuts; scrapes; bruises; muscle, joint or other soft tissue injury (sprains/strains); broken or dislocated bones; loss of consciousness, concussion, traumatic brain injury, or other head injury; dehydration; eye injury; illness (including, but not limited to, contraction of COVID-19 and other viruses); emotional distress; property damage; permanent disability; paralysis; or death (collectively, “Risks”). I understand that the Risks may be caused or contributed to by my own actions or inactions, the actions or inactions of other participants, bystanders or PITCH staff, the conditions and settings in which the Activities take place, or the alleged or actual negligence of the Releasees. I understand that the description and list of Risks in this Agreement is not complete, and that I may encounter risks not specified herein, known or unknown, in connection with the Activities. WITH A FULL UNDERSTANDING AND APPRECIATION OF THE FOREGOING, I VOLUNTARILY AGREE TO ASSUME THE FOREGOING RISKS AND ALL RESPONSIBILITY FOR ANY LOSSES, COSTS, AND DAMAGES I INCUR AS A RESULT OF, OR IN CONNECTION WITH, THE ACTIVITIES. 

5. RELEASE, DISCHARGE, HOLD HARMLESS, AND AGREE NEVER TO SUE RELEASEES FOR ANY LIABILITY, CLAIM, DEMAND, LOSS, INJURY OR DAMAGE RESULTING FROM OR RELATED TO PARTICIPATION IN OR OBSERVATION OF ACTIVITIES, INCLUDING, BUT NOT LIMITED TO, CUTS; SCRAPES; BRUISES; MUSCLE, JOINT OR OTHER SOFT TISSUE INJURY (SPRAINS/STRAINS); BROKEN OR DISLOCATED BONES; LOSS OF CONSCIOUSNESS, CONCUSSION, TRAUMATIC BRAIN INJURY, OR OTHER HEAD INJURY; DEHYDRATION; EYE INJURY; ILLNESS (INCLUDING, BUT NOT LIMITED TO, CONTRACTION OF COVID-19 AND OTHER VIRUSES); EMOTIONAL DISTRESS; PROPERTY DAMAGE; PERMANENT DISABILITY; PARALYSIS; OR DEATH, CAUSED IN WHOLE OR IN PART BY THE ALLEGED OR ACTUAL NEGLIGENCE OF THE RELEASEES. I further agree that if, despite this Agreement, I or anyone acting on my behalf makes a claim against any of the Releasees, I will DEFEND, INDEMNIFY, AND HOLD HARMLESS each of the Releasees from any attorney’s fees, losses, liability, damage, or expenses which Releasees may incur as the result of such claim. 

6. I understand that this Agreement is in effect every time I am on the premises or participate in the Activities. I agree that this Agreement is a contract which will be enforced to the fullest extent allowed by law and will be binding on me, my assignees, subrogors, heirs, assigns, executors, and personal representatives. If any part of this Agreement is deemed to be unenforceable, I agree that the remaining terms shall be enforceable. I acknowledge and agree that this Agreement shall be governed and construed in accordance with the laws of Maine. Other than matters concerning the non-payment of fees, I agree to resolve all disputes with Releasees, whether arising in tort, contract, equity, or any other dispute, through BINDING ARBITRATION. I acknowledge that the binding arbitration shall be without any right of appeal. I agree that the costs of the arbitration services shall be shared equally among the parties to the arbitration, but each party shall bear the cost of their own attorney’s fees. 

I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND AND AGREE TO BE BOUND BY ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE. 

September 20, 2020

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
By signing on behalf of a minor child participant, I represent that I am that minor child’s parent or legal guardian, that I am authorized to sign this Agreement on the minor child’s behalf. I understand the nature of the Activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such Activities. I agree and warrant that, if at any time, I believe conditions to be unsafe or believe the minor’s health is suffering, I will immediately discontinue the minor’s participation in the Activities. I acknowledge that the minor participant is bound by all the terms of this Agreement as set forth above, and understand that the minor participant would not be permitted to be at PITCH or take part in the Activities unless I agree to all terms of this Agreement. I agree to defend, indemnify, and hold harmless Releasees against any claims arising from the minor participant’s presence at PITCH or participation in the Activities.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
The Pitch may use photography/videography for promotional purposes*
The Pitch has consent from the above participant
The Pitch does not have consent from the above participant
You have read and understood our CO-Vid 19 return to play policy and accept our terms *
Yes
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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