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PARTICIPATION AGREEMENT AND RELEASE OF LIABILITY

Agreement and Release of Liability

Participant agrees that Dover Sportsplex has the right to approve, disprove, reject, or terminate participant for any lawful reason. Participant agrees to follow all facility rules and regulations at all times. Violations of these rules may lead to membership termination.

Participant acknowledges that serious injury including head injury, brain injury, paralysis, permanent injury, and death can occur in this activity. The participant acknowledges that although rules and equipment can reduce risk, participant knowingly and freely assumes all risks of participation, whether inherent or resulting from the negligence of Dover Sportsplex, its officials, employees, staff, coaches, volunteers, and other participants. Participant agrees to assume full responsibility for participation in the activity. Participant agrees they will remove themselves from any potential hazardous or dangerous situation if one arises. Participant agrees to release and hold harmless Dover Sportsplex and their officials, employees, staff, coaches, volunteers, and other participants from all claims and liability related to any and all injury and sickness. Participant grants Dover Sportsplex permission to use their image in any photographs and/or videos taken of them that can be used by Dover Sportsplex for any and all marketing purposes. 

By signing below, the participant acknowledges that have read this release of liability and assumption of risk agreement, fully understands its terms, and agree freely and voluntarily to the terms.

Participant Signature:


(required for all participants)    
(Guardian Signature required for participants under 18)

Date Signed: April 24, 2024


DOVER SPORTSPLEX LLC
111 BASSETT HIGHWAY
DOVER, NJ 07801

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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:*
Emergency Contact

First Name*

Last 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.


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*

Middle Name

Last Name*

Phone*
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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