Loading...

ALPHA

Personal Liability Waiver

 


By signing this document, the undersigned, acknowledges to have read the statement below, understand its meaning and legal implications, and agree to the terms, stipulations and waivers, set forth below.

In consideration of being granted permission to participate in and attend the event taking place at Camp Ramblewood (“Ramblewood”), at 2564 Silver Rd, Darlington, MD 21034 on April 23-26, 2026, known as ALPHA (the “EVENT”), produced by Figment Project, Inc. (“FIGMENT”), I understand, acknowledge and agree to the following:

1.         I certify that I am physically able to participate in EVENT, and in any activity or performance associated with it, and have not been advised otherwise by a qualified medical professional.

2.         I understand that I am responsible for any allergies or medical conditions that I may have and I will bring any appropriate and/or required treatments, medications and other precautions for such conditions.

3.         I agree to comply with any and all rules, regulations, terms and conditions of the EVENT, including but not limited to those set forth in this document, on the ticket, in any handouts, in any communications from the EVENT and/or on the EVENT website.

4.         I, on behalf of myself, my heirs, executors, administrators and assigns hereby irrevocably waive, release, discharge, and agree to hold harmless FIGMENT, Ramblewood, the producers, organizers and volunteers who produce EVENT, each of their current and former officers, directors, members, employees, volunteers, representatives, agents, contractors and sub-contractors, and other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of equipment and premises used to conduct EVENT, or any events or activities related to the EVENT (hereinafter collectively “Releasees”) from any and all causes of actions, actions, debts, sums of money, accounts, bonds, bills, covenants, contracts, controversies, promises, agreements, trespasses, variances, judgments, damages, costs, executions, claims, demands whatsoever, in law, equity and/or admiralty, fixed or contingent, which I may have or which may subsequently accrue to me, relating to, resulting from or arising out of the EVENT, including but not limited toany injury or damage to my person or property, or to that of any other person or property (the “Released Claims”). I further agree forever to refrain from commencing, instituting or prosecuting any lawsuit, action, claim or other proceeding against any Releasee with respect to any and all of the Released Claims. Each of the Releasees shall be a third party beneficiary of this Agreement. I agree to indemnify and hold harmless each Releasee for any claims, costs and expenses resulting from any attempts to collect any of the Released Claims from such Releasee.

5.         WAIVER FOR UNKNOWN CLAIMS. I hereby waive and relinquish, to the fullest extent permitted by law, any and all provisions, rights and benefits conferred by any law of the United States or any state or territory of the United States, or principle of common law, which governs or limits a person's release of unknown claims.

6.         I acknowledge and fully understand that as a participant, I may be engaging in activities that involve risk of serious injury, including permanent disability and death, property loss and severe social and economic losses. These risks include, but are not limited to, those caused by: (a) the actions, inactions or negligence of Releasees, participants, volunteers, spectators, event officials and organizers; (b) conditions of the premises or equipment used; (c) rules and regulations regarding the activities; (d) temperature; (e) weather; (f) condition of participants; and (g) vehicular traffic. I further acknowledge and fully understand that there may also be other risks that are not known or foreseeable at this time. I KNOWINGLY AND VOLUNTARILY ASSUME ALL RISK OF PROPERTY LOSS, PERSONAL INJURY, SERIOUS INJURY OR DEATH, WHICH MAY OCCUR BY ATTENDING EVENT AND HEREBY FOREVER RELEASE, DISCHARGE AND HOLD HARMLESS THE RELEASEES FROM ANY CLAIM AIRSING FROM SUCH RISK EVEN IF ARISING FROM THE NEGLIGENCE OF RELEASEES, THEIR OFFICERS, DIRECTORS, EMPLOYEES, CONTRACTORS, AGENTS OR REPRESENTITIVES, OR BY THIRD PARTIES, AND I ASSUME FULL RESPONSIBILITIES AND LIABILITY FOR MY ATTENDANCE AND PARTICIPATION. 

7.         I agree to indemnify, defend and hold the Releasees harmless from and against any and all claims for damages, injuries, losses, liabilities and expenses relating to, resulting from or arising out of my participation in the EVENT or any program, event or activity.

8.         I consent to have medical treatment that may be deemed advisable in the event of injury, accident, and/or illness during any program, event or activity while acknowledging that the Releasees are not required to administer such medical treatment. I hereby release the Releasees and all persons participating in any such medical treatment from all responsibility for any such actions.

9.         I intend that this PERSONAL LIABILITY WAIVER shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

10.      I represent and warrant that I am not employed by any city, state or federal law enforcement agency or acting as an independent contractor or agent on their behalf.

11.      I am aware and agree that my image may be captured on film, video or photographs without my consent and without compensation.

12.      I appoint FIGMENT as my representative to take actions necessary to protect my intellectual property or privacy rights, recognizing that FIGMENT has no obligation to take any action whatsoever.

13.      I agree that FIGMENT is not liable for acts of God, or actions taken by government agencies.

14.      I understand that children can attend the event only accompanied by a parent or guardian, and that if I bring a child to the event I agree on behalf of the child to the contractual terms contained in this PERSONAL LIABILITY WAIVER. I agree to assume full responsibility for the supervision and behavior of any child or minor in my care.

15.      I understand that art installations, workshops and performances are not owned or operated by FIGMENT, and, therefore, I also assume any and all risk of injury associated with or arising from their operation or occurrence. 

16.      I understand that all activities, including camping, swimming where available, are AT YOUR OWN RISK.

17.      I understand that smoking, candles, incense or any other open flame on the premises of any cabins and buildings, including porches, is strictly PROHIBITED. I understand that if I am responsible for setting off, tampering with the electrical supply or removing the battery from a smoke detector, I will be held accountable for all fines that are incurred. (MINIMUM FINE: $1,000.).

18.      I understand that neither FIGMENT nor Ramblewood condones the consumption or possession of illegal substances, and I agree that I will not bring such substances onto the grounds of the event. Furthermore, I understand that I will not use or consume illegal substances while at the event and that I have been made aware that doing so is a direct contradiction of the stated purpose and policies of FIGMENT and Ramblewood.

19.      I agree that all vehicles including trucks, trailers and RV’s entering and exiting EVENT can be subject to search by the staff.

Entrance to EVENT is a revocable license that can be revoked by FIGMENT or Ramblewood at any time for any reason, or for no reason at all.

By entering EVENT, I acknowledge that I have read this PERSONAL LIABILITY WAIVER, and I fully understand its terms, and I understand that I have given up substantial rights, and I do so knowingly, voluntarily and without any inducement or duress. My signing of this waiver confirms my agreement to the terms reflected above.

This Agreement, as well as all rights and obligations of the parties hereto, shall be governed, construed and interpreted according to the internal laws of the State of New York, without giving effect to any conflict of law provisions contained therein.

Please Print Legibly AND Fill out the Form ENTIRELY!

 

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Second Participant's Signature*
Third Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Signature*
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Signature*
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Signature*
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Signature*
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Signature*
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Signature*
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Signature*
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Signature*
Parent or Guardian's Email Address
Email*
Confirm Email*
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 Driver's License / ID Card
Driver's License / ID Card Number*
Issuing State*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
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*
Relationship*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!