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2021 IWWF World Under-21 Waterski Championships Declaration, Waiver and Release Form

For, and in consideration of, the International Waterski & Wakeboard Federation Limited (the “IWWF”) and USA Water Ski & Wake Sports (the Organiser) accepting my application, and permitting me, to participate and compete in the 2021 IWWF World Under-21 Waterski Championships (the Championships), I, the undersigned, for and on behalf of myself, my heirs, executors and administrators, do hereby irrevocably and unconditionally warrant, represent and undertake to the IWWF and the Organiser as follows:

  1. Any and all information provided and/or disclosed by, or on behalf of, myself to the IWWF and the Organiser (including any directors, officers, employees, volunteer and other representatives thereof) for the purpose of considering and evaluating my application for participation and Competition in the Championships is true, correct and accurate;
     
  2. I have fully read and understood the rules and regulations of participation and Competition in the Championships (a copy of which has been made available to me) and I do hereby covenant with, and undertake to, the IWWF and the Organiser to at all times fully comply with, and abide by, the same;
     
  3. I understand that I am required by the IWWF Bye-Laws to be in possession of Medical Insurance to take part in these Championships and confirm that such insurance is in place:
     
  4. I am in good physical and mental health and I am physically capable of competing and participating, and fully competent to participate and compete, as a competitor in the Championships and that I have not been certified and/or advised otherwise by any qualified medical practitioner;
     
  5. I do hereby authorise any and all physicians, paramedics and other medical personnel and practitioners procured by, or on behalf of, the IWWF and the Organiser to administer first aid treatment or any medical treatment, surgery or transportation in the event of any illness, accident or injury suffered and/or sustained by me at any time during my participation and Competition in the Championships (or any part thereof) and hereby indemnify, and shall keep fully and effectively indemnified, the IWWF and the Organiser (including all directors, officers, employees, volunteer and other representatives thereof) upon demand from and against any and all claims, liabilities, demands, costs and expenses of whatsoever nature incurred and/or suffered by the same (or any of them) and arising from, and/or in connection with, the procurement and administration of such medical treatment and transportation in relation to any such illness accident or injury suffered and/or sustained by me;
     
  6. I acknowledge, agree and confirm that participating and/or competing as a competitor in the Championships (or any part thereof) involves inherent risks and dangers of accidents, personal and bodily injury, including death, and property loss or damage and that by signing and completing this Declaration, Waiver and Release Form, I fully understand and have considered and evaluated the nature, scope and extent of the risks involved, and voluntarily and freely choose to assume these risks;
     
  7. I understand and acknowledge, as a Parent or Legal Guardian, and as a Participant, it is important to recognise the signs, symptoms and behaviours of concussions and head injury. By signing this form, I am stating that I understand the importance of recognising and responding to the signs, symptoms, and behaviours of concussion and head injury. I have read the Parent Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I understand the common signs, symptoms and behaviours of concussion and head injury. I understand that the Participant must be removed from practice/competition if a concussion is suspected. I understand that it is my responsibility to seek medical or other expert treatment if a suspected concussion is reported to me and that the Participant cannot return to practice/competition until providing written clearance from an appropriate health care provider. I understand the possible consequences of the Participant returning to practice/competition to soon, including the risks of additional injury, post-concussion syndrome, second impact syndrome, where another concussion or head injury is sustained before the signs, symptoms, and behaviours, of an earlier concussion or head injury have subsided, and including death. I understand that the information and protocol around concussion and head injury has been developed and provided for the Participant’s protection and accordingly, the Participant understands and takes full responsibility to protect themselves by ensuring that all concussion/head injury(s) are disclosed and that all concussion protocols are complied with. If I am the Coach, Manager, Team Captain, I have read the concussion and head injury information and understand what a concussion is and how it may be caused. I understand what the signs, symptoms, and behaviours are andagree to remove the athlete from practice/competition if exhibited and/or a concussion is suspected. I understand that it is my responsibility to inform the parents/guardian if I suspect a concussion or if a suspected concussion is reported to me and that the athlete cannot return to practice/competition before providing a written clearance from an appropriate health care provider.
     
  8. I hereby grant to the IWWF and the Organiser (including its lawful successors and assigns) the sole and exclusive right and licence, in perpetuity and throughout the world and without any compensation whatsoever to me, to use, reproduce, publish and/or exploit, my name, nickname, likeness, image, logos, get-ups, initials, voice, slogan and signatures developed from time to time, reputation, graphical representation, electronic, animated or computer generated representation and any other representation (in any medium whatsoever), right of association, biographical information and other indicia, and any other right or property in my performances, in any media whatsoever, for any purposes whatsoever relating to, and/or in connection with, the IWWF and/or the Championships (or any part thereof) and I shall do all such things (including, without limitation, the execution of appropriate legal documentation) as the IWWF and the Organiser may, from time to time, require to give legal and binding effect to the aforementioned grant of rights;
     
  9. I irrevocably acknowledge, agree and confirm that the IWWF and the Organiser reserves the right, at its sole and absolute discretion, to disqualify me from participation and/or Competition in the Championships (or any part thereof) if I am in breach of any of the warranties, representations and/or undertakings set out in this Declaration, Waiver and Release Form and/or for any reason whatsoever the IWWF and the Organiser considers just and proper, and in the event of any such disqualification, I shall not be entitled to any compensation of any nature whatsoever from the IWWF and the Organiser.
     
  10. I hereby release, hold harmless, protect, indemnify and forever discharge the IWWF and the Organiser (including its officers, employees, volunteer and other representatives), the Championships and all commercial partners thereof, from and against any and all claims, demands, liabilities, losses, damages, costs and expenses of any nature whatsoever, whether direct or consequential, suffered and/or incurred by me, the IWWF and the Organiser (including its officers, employees, volunteer and other representatives), the Championships and/or all commercial partners thereof and arising from, and/or in connection with any breach of any of the warranties, representations and/or undertakings given by me as set out hereunder; and/or my participation and/or Competition in the Championships (or any part thereof), including, without limitation any and all claims, demands, liabilities, losses, damages, costs and expenses arising from the negligence of the IWWF, the Organiser and/or any commercial partner thereof and/or their any of their respective directors, officers, employees and volunteer and other representatives.

If any provision of this Declaration, Waiver and Release Form should be invalid, illegal or unenforceable in any respect, the validity, legality or enforceability of the remaining provisions contained herein shall not in any way be affected or impaired thereby.

Declaration

I, (the Competitor), do hereby declare that I have read and fully understood the terms and conditions of this Declaration, Waiver and Release Form and that I have had the opportunity to discuss the same with my parent / guardian* and that I agree to be bound by the said terms and conditions of the above agreement with the IWWF and the Organiser.

Today's Date: June 28, 2022

First Competitor's Name

First Name*

Middle Name

Last Name*
First Competitor's Date of Birth*
I certify that I am 18 years of age or older
First Competitor's Signature*
Second Competitor's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Competitor's Date of Birth*
Competitor'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*
Additional Information

Occupation:
I, the undersigned, am the parent / guardian* of (the Competitor) and for and in consideration of the IWWF and the Organiser accepting the application of and permitting the Competitor to participate and compete in the (Year) < Name of Event>, I do hereby irrevocably and unconditionally: 1 warrant, represent and undertake to the IWWF and the Organiser that I have read and fully understood the terms and conditions of the Declaration, Waiver and Release Form and have discussed with, and explained such terms and conditions to, the Competitor and I agree to, and will cause the Competitor to fully abide by, and comply with, all of the terms and conditions of the Declaration, Waiver and Release Form; and 2 covenant with, and undertake to, the IWWF and the Organiser not to take, nor permit to be taken, any action(s) nor omit to do anything that would assist or cause the Competitor to invalidate, renounce, negate, revoke or disclaim any part of the Declaration, Waiver and Release Form, and 3 warrant, represent and undertake to the IWWF and the Organiser that by signing the Declaration, Waiver and Release Form, neither the Competitor and/or myself is/are in breach of any other arrangement(s) (whether contractual or otherwise) with any third party, and 4 agree to be liable for, and will indemnify the IWWF and the Organiser (including its officers, employees, volunteer and other and representatives), the Championships and all commercial partners thereof from and against, any and all claims, demands, liability, losses, damages, costs, and expenses of any nature whatsoever, whether direct or consequential, suffered and/or incurred by the IWWF and/or the Organiser, the Championships and all commercial partners thereof, whether direct or consequential, any arising from, and/or in connection with: (a) any breach of any of the warranties, representations and/or undertakings given by the Competitor in the Declaration, Waiver and Release Form; and/or (b) the Competitor’s participation and/or Competition in the Championships (or any part thereof). 5 including, without limitation any and all claims, demands, liabilities, losses, damages, costs and expenses arising from the negligence of the IWWF, the Organiser and/or any commercial partner thereof and/or their any of their respective directors, officers, employees and volunteer and other representatives; and 6 agree that if any provision of this Declaration of Parent / Guardian should be invalid, illegal or unenforceable in any respect, the validity, legality or enforceability of the remaining provisions contained herein shall not in any way be affected or impaired thereby.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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