Fillable Shooting Sports Ayssp Student/athlete Participation Form (Page 2 of 4) in pdf

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND

INDEMNITY AGREEMENT

Dear Parent or Guardian,

Your child or ward (the “Participant”) has indicated an interest in participating in the Arkansas Youth Shooting

Sports Program (the “AYSSP”) sponsored by the Arkansas Game and Fish Commission (the “AGFC”). We

know that it is your wish as well as ours that every precaution be taken to protect our participants from injury.

We do our utmost to promote this by proper training, by the use of protective equipment, and by encouraging

good safety habits. However, accidents do happen in sporting events as elsewhere. Although the AGFC

provides limited health and accident insurance for the AYSSP, we recommend that the Participant be insured

with your own personal family insurance. Participant’s participation in the AYSSP is contingent upon both the

custodial parent (or guardian) and child (or ward) (collectively the “Undersigned”) reading, understanding, and

voluntarily executing this Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement (the

“Agreement”).

The Undersigned have been informed and understand that participation in the AYSSP is voluntary and that

AYSSP activities will include, but may not be limited to, practicing and participating in trap shooting, handling

and firing loaded firearms and live ammunition, and travelling to trap shooting competitions. The Undersigned

fully understand that while participating in the AYSSP Participant will engage in and be exposed to physical

activities that involve risk of serious bodily injury, illness, property damage, permanent disability, paralysis, and

possibly even death. Such consequences may result from Participant’s own actions or inactions, the actions or

inactions of others, weather conditions, the condition of the equipment or facilities used, the condition of the

firearms or ammunition used, negligent first aid operations, wildlife, or the negligence or fault of the Released

Parties named below. In addition, the Undersigned understand that there may be other risks and dangers not

known or not readily foreseeable at this time. THE UNDERSIGNED HEREBY GRANT PERMISSION

FOR PARTICIPANT TO PARTICIPATE IN THE AYSSP AND KNOWINGLY AND VOLUNTARILY

ASSUME ALL SUCH RISKS, BOTH KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE

ACTS OF THE RELEASED PARTIES NAMED BELOW, AND FURTHER ASSUME ALL

RESPONSIBILITY

FOR

INJURIES,

ILLNESS,

DISABILITY,

DEATH,

LOSSES,

COSTS

(INCLUDING ANY AND ALL MEDICAL AND HEALTH SERVICES), AND DAMAGES INCURRED

AS A RESULT OF PARTICIPANT’S PARTICIPATION IN AYSSP ACTIVITIES.

The Undersigned understand and agree that some or all of the AYSSP activities will be open to the public and

that Participant’s participation may be filmed or photographed. The Undersigned hereby grant the AGFC the

right to make videos, photographs, and audio recordings of Participant during AYSSP activities (collectively the

“Footage”) and to use the Footage with Participant’s name, likeness, photograph, voice, dialogue, sounds, and

biographical information in any and all media now existing or subsequently developed, without any

compensation to the Undersigned whatsoever. The rights granted herein shall also include the right to edit,

delete, and dub the Footage as the AGFC sees fit in its sole discretion. The Undersigned agree that the AGFC

may license, assign, and otherwise transfer the rights to the Footage to any other person or entity.

For and in consideration of Participant’s participation in the AYSSP, the Undersigned do HEREBY

RELEASE, FOREVER DISCHARGE, AND COVENANT NOT TO SUE the AGFC, its subdivisions,

commissioners, directors, officers, employees, agents, and volunteers (the “Released Parties”) from any and all

manner of claims, demands, causes of action, or liability which the Undersigned now have, or may have at any

time in the future, against the Released Parties arising out of or pertaining to any injury, death, loss, damage,

Page 2 of 4

Shooting Sports Ayssp Student/athlete Participation Form Page 2

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