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ADULT/COACH PARTICIPANT RELEASE AND LIABILITY WAIVER FORM
Every participant must have a completed and signed release form to turn in at the time of registration on the day of each event to participate.​

 

Liability Release: For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged,
I hereby grant the permission necessary to allow myself to participate in the above (“Event”) to be conducted by Sharp International Inc. I, further agree to release and to hold harmless Sharp International Inc., the hosting site, on whose premises the Event will occur (hereinafter the “Location”), and the respective directors, officers, representatives, members, agents, staff and employees of the preceding parties (hereinafter collectively “Releasees”) from any and all liability whether caused by negligence of the Releasees or otherwise for any claim, judgment, loss, liability, cost and expenses (including, without limitations, attorney’s fees and costs) arising out of or connected with the Event, including any claim arising out of or connected with any illness or injury (minimal, serious, catastrophic and / or death) that I may incur or sustain during the Event, all activities associated with the Event and while traveling to and from the site for the Event whether or not the Event actually occurs. I further expressly agree to indemnify and hold harmless Releasees and Releasees’ heirs, successors, assigns, executors and administrators against loss from any further claims, demands or actions that may subsequently be brought by me or by any other persons on the account of damages of any character resulting to me in any way from the foregoing activities. I further agree to reimburse and to make good to Releasees any loss or costs Releasees may have to pay as a result of any such action, claim or demand.

I hereby warrant that I have read this Liability Release in its entirety and fully understand its contents. I am aware that this Liability Release, Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I further acknowledge that nothing in this Liability Release constitutes a guarantee that the Event will occur. I have signed this document voluntarily and of my own free will.

Supervision: A chaperone/Adult (age 21 and over) is required to attend with minors. This Chaperone will be responsible for the minors at all times. The Releasees are not responsible for minors’ supervision.
Appearance Agreement: I understand that as participant or coach at the Event that I may be included in advertising contents such as, social media advertising or photographs taken during the Event. Therefore, without reservation or limitations, I, in my own behalf, hereby assign, transfer and grant Sharp International Inc., its successors, assignees, licensees, sponsors, and the exclusive right to photograph and / or videotape and to utilize such videotapes, photographs and my name, face likeness, voice and appearance as a part of the Event or in any other media now in existence or hereafter developed, in advertising and promoting the Event, in advertising and promoting similar future events.
Medical Release: I, in my own behalf, acknowledge and agree that such participation subjects to possibility of physical illness or injury (minimal, serious, catastrophic and/ or death) and that I, in my own behalf, acknowledge that I am assuming the risk of such illness or injury by participating in the Event. In the event of such illness or injury, I authorize Sharp International Inc. to obtain necessary medical treatment for myself and hereby, in my own behalf, release and hold harmless Releasees in the exercises of this authority. I further acknowledge and understand that I will be responsible for any and all medical and related bills that may be incurred for any illness or injury that I may sustain during the Event and while traveling to and from the site for the Event whether or not the Event actually occurs.

I represent that any medication that I am allergic or medications that I am currently taking is listed below. I agree that I will bring medications that I’m currently taking with me to the Event and will consume the prescribed dosage for such medications as needed.

 

May 14, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
First Participant's Signature*
Second Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Third Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Fourth Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Fifth Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Sixth Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Seventh Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Eighth Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Ninth Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Tenth Participant's Name

First Name*

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

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy 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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

School/Team Name: *

Event Date/Location: *

Division: *

Medications (if any):

Allergies (if any):
I acknowledge that I suffer from the following conditions (Seizures, Epilepsy, Diabetes, Etc.:*
No
Yes

If yes please list
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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