Waiver Form - Tilton Sports Center (Page 2 of 2) in pdf

from, or relate to my participation in the TSC/LOFT Activities or use of TSC/LOFT equipment or facilities,

including claims for Liability cause in whole or in part by the negligence of the Released Parties.

I ALLOW PHOTOS. I grant TSC/LOFT, its owners, employees, agents, and any other persons acting on TSC/LOFT’s behalf, the

irrevocable right and permission to photograph and/or record me (and/or my minor child) while at TSC/LOFT, and to use the

photograph and/or recording without name identification for advertising and promotional purposes, in any manner, and in all

media formats now or hereafter known, in perpetuity throughout the world, without restriction. I waive any right to inspect or

approve the use of any photographs or recordings, and acknowledge and agree that the rights granted in this release are without

further consideration and additional compensation of any kind. All such photographs and/or recordings shall be the exclusive

property of TSC/LOFT.

I AGREE. I hereby warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be

giving up substantial legal rights by signing it (including the rights of my minor children, my spouse, children, parents, guardians,

heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge

that I have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee, and intend for my

signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this

Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral

representations, statements or inducements have been made apart from this Agreement. If any provision of this Agreement is held to

be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not

affect the validity and enforceability of any remaining provisions.

SIGNATURE OF PARTICIPANT:

DATE:

EMERGENCY CONTACT:

PHONE: (

)

Parental Consent (required if the participant is less than 18 years of age)

As the Parent and/or Legal Guardian to the minor identified above, I hereby accept and agree to all of the terms and conditions of this

Agreement on behalf of the minor in connection with the minor’s participation in the TSC/LOFT Activities. If, despite this Agreement, I,

or anyone on the minor’s behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold

harmless each of the Released Parties from any such Liabilities which any may be incurred as the result of such claim.

NAME OF LEGAL GUARDIAN:

AGE:

DATE OF BIRTH:

SIGNATURE OF LEGAL GUARDIAN:

DATE:

ADDITIONAL PARTICIPANTS: (MUST RESIDE AT SAME ADDRESS)

NAME: ______________________________________________________ DATE OF BIRTH________________________

Waiver Form - Tilton Sports Center Page 2