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2017Captain’sPlayerRelease WAIVERANDRELEASEFROMLIABILITY InconsiderationofbeingallowedtoparticipateintheKVKL: IHEREBYWAIVEANDRELEASE,indemnify,holdharmlessandforeverdischargeKawValleyKickball League(“KVKL”),anditsagents,employees,officers,directors,affiliates,successorsandassigns,ofandfromany andallclaims,demands,debts,contracts,expenses,causesofaction,lawsuits,damagesandliabilities,ofevery kindandnature,whetherknownorunknown,inlaworequity,thatIeverhadormayhave,arisingfromorinany wayrelatedtomyparticipationinanyoftheeventsoractivitiesconductedby,onthepremisesof,orforthe benefitof,KVKLprovidedthatthiswaiverofliabilitydoesnotapplytoanyactsofgrossnegligence,orintentional, willfulorwantonmisconduct. IunderstandthattheactivitiesinwhichIwillparticipateareinherentlydangerousandmaycauseserious orgrievousinjuries,includingbodilyinjury,damagetopersonalproperty,temporaryorpermanentdisability, and/ordeath.Onbehalfofmyself,myheirs,assigns,administrators,executorsandnextofkin,Iwaiveallclaims fordamages,injuriesanddeathsustainedtomeormypropertythatImayhaveagainsttheaforementioned releasedpartytosuchactivity,includingclaimsintort,contract,equityorotherwise.Iintendthiswaivertoapply toallrisksinvolvedinKVKLactivities,whetherknownorunknown. Iacknowledge,agree,andrepresentthatIunderstandthenatureofKVKLactivitiesandthatIamqualified, ingoodhealth,andinproperphysicalconditiontoparticipateinsuchactivities.Ifurtheragreeandwarrantthatif atanytimeIbelieveconditionstobeunsafe,Iwillimmediatelydiscontinuefurtherparticipationintheactivity. Asateamcaptain,IwillnotallowanypersontoparticipateinKVKLactivitiesiftheyhavenotsigneda KVKL2017PlayerRelease(“UnqualifiedTeamMember”).Furthermore,Iherebyassumefullresponsibilityforand indemnifyKVKLfromanyclaimsorliability,includingattorney’sfees,associatedwithanUnqualifiedTeam MemberbeinginjuredwhileparticipatinginaKVKLactivity.AsteamcaptainIhavereadandunderstandtheKVKL rulesandcodeofconduct. BythisWaiver,Iassumeanyrisk,andtakefullresponsibilityandwaiveanyclaimsofpersonalinjury, deathordamagetopersonalpropertyassociatedwithKVKL,includingbutnotlimitedtopracticingand/or engagingandcompetinginanycompetitionsorotheractivitiesandusingthepremisesandfacilitiesand equipmentinanymanner,formorfashion. IdoherebygiveKVKLtheirassigns,licenses,andlegalrepresentativestheirrevocablerighttousemy name[oranynickname],picture,portrait,photograph,image,orvoiceinallformsandmediaandinallmanners, includingcompositeorpurpose,andIwaiveanyrighttoinspectorapprovethefinishedproduct,includingwritten copy,thatmaybecreatedinconnectiontherewith.IalsoagreethatthisreleasesKVKLandanyandallofits representativesfromanyandallmonetaryobligationsorpaymentstomeoranyorallofmyauthorized representativesforuseofvideo,films,photographs,imageand/orvoiceofmyself. ThisWAIVERANDRELEASEcontainstheentireagreementbetweentheparties,andsupersedesanyprior writtenororalagreementsbetweenthemconcerningthesubjectmatterofthisWAIVERANDRELEASE.The provisionsofthisWAIVERANDRELEASEmaybewaived,altered,amendedorrepealed,inwholeorinpart,only uponthepriorwrittenconsentofallparties. TheprovisionofthisWAIVERANDRELEASEwillcontinueinfullforceandeffectevenafterthe terminationoftheactivitiesconductedby,onthepremisesof,orforthebenefitofKVKL,whetherbyagreement, byoperationoflaw,orotherwise. Ihaveread,understandandfullyagreetothetermsofthisWAIVERANDRELEASE.Iunderstandand confirmthatbysigningthisWAIVERANDRELEASEIhavegivenupconsiderablefuturelegalrights.Ihavesigned thisAgreementfreely,voluntarily,undernoduressorthreatofduress,withoutinducement,promiseorguarantee beingcommunicatedtome.Mysignatureisproofofmyintentiontoexecuteacompleteandunconditional WAIVERANDRELEASEofallliabilitytothefullestextentpermittedbylaw.Iam18yearsofageorolderand mentallycompetenttoenterintothiswaiver. __________________________________________________________________Male/Female TeamName(print) PlayerName(print) (circle) signed:__________________________________ date:____/____/______