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WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

 

     In consideration for entrance onto the premises and participation in or observation of the event, I do hereby release, waive, discharge, and covenant not to sue MidAmerica Outdoors LLC, MAO Event Center, Jason Robinett, Gayla Robinett, John K. Fields, Donna L. Fields, The John K. Fields Trust, The Donna L. Fields Trust, Jeff Weaver, Cindy Weaver, their agents, employees, associates, and heirs (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 me, while in, on or upon the premises where the activities are being conducted, regardless of whether such loss is caused by the negligence of the releasees, or otherwise and regardless of whether such liability arises in tort, contract, strict liability, or otherwise, to the fullest extent allowed by law. I understand that the activities and events herein are inherently dangerous and may pose a risk of harm. I hereby assume full responsibility for, and risks of, bodily injury, death or property damage due to the negligence of releasees or otherwise while in or upon the premises while observing, participating, working for, or any other purpose related to the event. 

     It is my express intent that this Waiver and Hold Harmless Agreement shall bind the members of my family and spouse, and my heirs, assigns and personal representative, and shall be deemed as a release, waiver, discharge, and covenant not to sue the above-named RELEASEES. Any portion of this document deemed unlawful or unenforceable is severable and shall be stricken without any effect on the enforceability of the remaining provisions. I further understand that the swimming pool located on the premises is private and not to be used by anyone other than friends and family of the owners. 

     Photographs and/or video will be taken at this event.  By taking part in this event you hereby grant the event organizers and/or their agents, full rights to use the resulting images for publicity or other purposes.  This may include, but is not limited to, the right to use them in their printed and online publicity, social media and press releases.

     I understand that no minors are to be allowed or left unaccompanied in the park at any time, and agree to follow all safety rules in and on off-road vehicles at all times.

     IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Wavier of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent (or that my legal guardian is executing this Agreement on my behalf); and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same. 

IN WITNESS WHEREOF, I have signed this Waiver and Agreement on this day of August 4, 2020.

First Participant's Name

First Name*

Last Name*
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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Emergency Contact

Emergency Contact's 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.
Parent or Guardian's Name

First Name*

Last Name*
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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