Usa Wrestling Medical Packet (Page 5 of 5) in pdf

USA Wrestling

Waiver and Release from Liability

1. I, _______________________________, the undersigned, on behalf of myself, my heirs and next of

kin, personal representative, agents, insurers, successors and assigns (all hereinafter "Releasers") hereby

FOREVER RELEASE, DISCHARGE AND COVENANT NOT TO SUE THE UNITED STATES OF AMERICAN

WRESTILING ASSOCIATION, INC., its insurers, its affiliated clubs, administrators, agents, directors, officers,

state organizations, members, committees, volunteers, all employees of USA Wrestling, and any and all

participants, officials, referees, coaches, host clubs, sponsoring agencies, sponsors, advertisers, local

organizing committees (and if applicable) owners, lessors and operators of premises used to conduct any USA

Wrestling sanctioned event, meet, practice or activity (all hereinafter "Releases") from any and all liabilities,

claims, demands, causes of action or losses of any kind or nature, past, present or future, direct or

consequential that I may hereafter have for PERSONAL INJURY, PERMANENT, TEMPORARY, TOTAL OR

PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGES TO PERSON OR

PROPERTY OR DEATH, arising out of my participation in, attendance at or traveling to and from any USA

Wrestling sanctioned event or activity including, but not limited to, LOSSES CAUSED BY THE PASSIVE OR

ACTIVE NEGLIGENCE OF THE RELEASEES, or hidden, latent or obvious defects in the facilities or equipment

used.

2. Releaser understands and acknowledges that USA Wrestling sanctioned activities and the sport

of wrestling in general have inherent dangers that no amount of care, caution, training, instruction, supervision

or expertise can eliminate. RELEASOR EXPRESSLY AND VOLUNTARILY ASSUMES ALL RISK OF PERSONAL

INJURY, PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY

OTHER LOSSES OR DAMAGES TO PERSON OR PROPERTY OR DEATH, sustained while participating in,

attending, preparing for or traveling to and from any USA Wrestling sanctioned event, meet, practice or activity,

including the risk of PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASEES, or hidden, latent or obvious

defects in the facilities or equipment used.

Releaser acknowledges and fully understands that each participant in any USA Wrestling

sanctioned event, meet, practice or activity, including Releaser, will be engaging in activities that involve risk of

serious injury, including permanent, temporary, total or partial disability, disfigurement, paralysis and any other

losses to person or property, including death, and that severe social and economic losses may result not only

from releaser’s own action, inactions or negligence, but also from the actions, inactions or negligence of other

notwithstanding the rules of play or the condition of the premises or of any equipment used. Further Releaser

acknowledges and fully understands that there may be other associated risks with such activities that are not

known or not reasonably foreseeable at this time.

I ACKNOWLEDGE THAT I HAVE HAD SUFFICIENT OPPORTUNITY TO REVIEW THE PROVISIONS OF

THIS DOCUMENT AND UNDERSTAND ITS PURPOSE, MEANING AND INTENT.

(Participant's Signature)

(Date)

(Print Name)

The undersigned,

does hereby represent that he/she is, in fact, the parent or

legal guardian of

and acting in such capacity agrees to the terms and

conditions of the above stated waiver and release.

(Signature of parent or legal guardian)

(Date)

(Print Name)

(Relationship to minor)

Usa Wrestling Medical Packet Page 5

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