We are Utah's Original Snowboard and Skateboard Shop.......est. 1984

Liability Release Form

LIABILITY RELEASE FORM

I understand that skateboarding can be a dangerous activity and that, by participating in this skateboarding activity, I am taking a risk that I may be injured.

I hereby assume all the risks associated with this event, even if Milosport or the local skate park(s), employees or agents, through negligence or otherwise, be deemed liable. I hereby release, waive, discharge covenant not to sue Milosport or the local skate park(s), employees or any agents, coaches, participants, sponsoring agencies, sponsors, advertisers, or others associated with this amateur event, and, if applicable, owners and Tenants of premises used to conduct the skateboarding event, from any and all liability arising out of my participation, even if the liability arises out of negligence that may not be foreseeable at this time. I understand that helmets and pads are strongly encouraged when skateboarding.

I understand, consent to and authorize, in advance, the use of my name, voice, picture or other likeness, in combination or alone, in any broadcast, telecast, print medium, advertising, promotion or other account of this skateboarding event.

I represent that my minor child (if applicable) or I are in sufficiently good physical condition to participate in the programs and activities of exhibition without jeopardizing our health. I understand that I have given up substantial rights by signing this waiver and release, and sign it voluntarily. This waiver and release also binds my heirs and assignees. I also recognize this document to be binding even if a portion is deemed to be unenforceable.

The undersigned or a parent or legal guardian if I am a minor, in consideration of being allowed participating in this skate contest and all related events and activities agree to all of the afore mentioned requirements.

THIS FORM MUST BE SIGNED BY A PARENT OR LEGAL GUARDIAN FOR ALL PARTICIPANTS UNDER THE AGE OF 18. IT IS UNDERSTOOD THAT I (WE) RELEASE MILOSPORT AND THE LOCAL PARTICIPATING SKATE PARK, THEIR AGENTS, SPONSORS, ADVERTISERS, STAFF AND SERVENTS, FROM ALL LIABILITY OF ANY SORT, AND THAT THEY BE HELD HARMLESS AND INDEMNIFIED FOR ANY ACCIDENT OR INJURIES SUSTAINED BY ME OR MY CHILD WHILE SKATING OR PARTICIPATING IN THIS SKATEBOARD EVENT.

Name______________________________ Age:_________

Email___________________________        Phone_______________

Address__________________________________________________

City_______________ State________ Zip___________

Class:         Beginner_____   Intermediate_____     Advanced_____  

Registration #________

In Case Of Emergency, contact______________ Phone (      )_______________

 

ENTRANTS SIGNATURE   X_____________________________

 

ENTRANTS NAME               _____________________________

 

If under 18 signature of PARENT OR GUARDIAN X__________________________

 

If under 18, name of PARENT OR GUARDIAN ______________________________