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Consent and Liability Waiver Release

Kick Around the Clock for Cass

In consideration of permission for me to participate in Kick Around the Clock for Cass on July 20, 2019 (covering raindate July 21, 2019) (the “Event”) at  Thomas College, I agree that I will not make a claim against, sue, attach the property of or prosecute ShineOnCass Foundation, Thomas College,  and their agents, sponsors, building contractors, suppliers, and employees for damages for death, personal injury or property damage which I may sustain as a result of my participation in these sporting activities. This release is intended to discharge in advance ShineOnCass Foundation, Thomas College and their agents, sponsors, building contractors, suppliers, and employees from and against any and all liability, including for negligent actions, arising out of or connected in any way with my participation in the Event or any other activity except for liability that may arise out of the willful or wanton misconduct of ShineOnCass Foundation, Thomas College, and their agents, sponsors, volunteers and employees. I FURTHER UNDERSTAND THAT SPORTS INVOLVE PHYSICAL CONTACT BETWEEN PLAYERS, THAT SERIOUS ACCIDENTS OCCASIONALLY OCCUR DURING SUCH SPORTING ACTIVITIES, AND THAT PARTICIPANTS IN SUCH SPORTING ACTIVITIES OCCASIONALLY SUSTAIN SERIOUS PERSONAL INJURIES (INCLUDING DEATH) AND/OR PROPERTY DAMAGE, AS A CONSEQUENCE THEREOF. KNOWING THE RISKS OF PARTICIPATION, NEVERTHELESS, I HEREBY AGREE THAT I ASSUME THOSE RISKS AND RELEASE AND HOLD HARMLESS SHINEONCASS FOUNDATION, THOMAS COLLEGE,  AND THEIR AGENTS, SPONSORS, VOLUNTEERS AND EMPLOYEES WHO (THROUGH NEGLIGENCE OR CARELESSNESS) MIGHT OTHERWISE BE LIABLE TO ME, MY MINOR CHILD (OR OUR HEIRS OR ASSIGNS) FOR DAMAGES. I attest that I am eighteen (18) years old or older (or if not, this Consent and Waiver is joined by my parent or lawful guardian) and that I am physically fit and have no known medical conditions which prohibit participation in this program.  I agree to follow all laws, rules and guidelines regulating the conduct of the program, camp or clinic. I understand and agree that I am responsible for the mechanical and/or operating condition of any and all sporting equipment provided by me, and I agree that I will continuously inspect and maintain all equipment used, even if we have obtained any of the equipment from SHINEONCASS, Thomas College, their agents, sponsors and/or employees.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY FOR ME AND A CONTRACT BETWEEN ME AND SHINEONCASS FOUNDATION, THOMAS COLLEGE, AND THEIR AGENTS, SPONSORS, VOLUNTEERS AND EMPLOYEES, AND I HAVE SIGNED IT OF MY OWN FREE WILL. I also agree that ShineOnCass Foundation, Thomas College,  and their agents, sponsors, volunteers and employees may use my photograph in future promotions.

Today's Date: July 16, 2019

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*

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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*
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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