Shooting Sports Ayssp Student/athlete Participation Form Page 4
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4Signatures:
I certify that I am the Participant identified above. I HAVE READ THIS AGREEMENT AND FULLY
UNDERSTAND ITS TERMS. I AM AWARE THAT THIS AGREEMENT INCLUDES A RELEASE
AND WAIVER OF LIABILITY, AN ASSUMPTION OF RISK, AND AN AGREEMENT TO
INDEMNIFY THE RELEASED PARTIES. I UNDERSTAND I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING THIS AGREEMENT, AND SIGN IT FREELY AND VOLUNTARILY
WITHOUT ANY INDUCEMENT.
____________________________________
_____________________________________
Signature of Participant
Date
____________________________________
Name of Participant
Date of Birth
____________________________________
Street Address
____________________________________
City, State, Zip Code
I certify that I have custody of Participant or am the legal guardian of Participant by court order. I HAVE
READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS. I AM AWARE THAT THIS
AGREEMENT INCLUDES A RELEASE AND WAIVER OF LIABILITY, AN ASSUMPTION OF
RISK, AND AN AGREEMENT TO INDEMNIFY THE RELEASED PARTIES. I UNDERSTAND I
HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT, AND SIGN IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
I join with Participant in this
Agreement and in granting a release to the Released Parties as set forth in detail above.
____________________________________
_____________________________________
Signature of Parent or Guardian
Date
____________________________________
Street Address
____________________________________
City, State, Zip Code
EXPLANATION OF RELEASE
A release is a legal document that becomes a binding contract when signed by the parties. By signing
a release you are giving up any rights you may have to sue or file a claim or other cause of action
against the party you release. The above release gives up your right to sue or file a claim against the
Arkansas Game and Fish Commission, its subdivisions, commissioners, directors, officers, employees,
agents, and volunteers should Participant be injured or suffer any other damages while participating in
the referenced activity. The release also requires you to hold the Commission harmless from claims by
anyone that Participant might injure or otherwise damage while participating in the activity.
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