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MEDICAL/EMERGENCY CONTACT INFORMATION
WAIVER INFORMATION
INDEMNIFICATION, WAIVER AND RELEASE OF CLAIMS
In consideration of being allowed to participate in any way in the “The City League”,
related activities and events (the "Program"), the undersigned acknowledges, appreciates and agrees that:
1. The risk of injury from the activities involved in the Program is significant, including the potential for
permanent disability and death, and while particular rules, equipment and personal discipline may reduce the
risk, the risk of injury to me exists; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING
FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my
participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation, including the
rules, regulation and officiating of The City League. If I observe any unusual significant concern in my
readiness for participation and/or in the Program itself, I will remove myself from participation and bring such to
the attention of the officials or authorized personnel of The City League; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives, HEREBY RELEASE The City
League, its assigns, successors, employees, agents, invitees, sponsors, participants, owners, directors and
members, and the lessors of the premises used to conduct the Program, and all other persons or entities
involved, directly or indirectly, in the Program (the "Releasees"), WITH RESPECT TO ANY AND ALL
INJURIES, personal or property, DISABILITIES, DEATH, or LOSSES or DAMAGES to person or property,
CLAIMS, CAUSES OF ACTION, known or unknown, incident to or arising out of my involvement or
participation in the Programs, or observation thereof, WHETHER ARISING FROM THE NEGLIGENCE OF
RELEASEES OR OTHERWISE, to the fullest extent permitted by the laws of the State of Missouri; and,
5. I, for myself and on behalf of my heirs, assigns and personal representatives, HEREBY INDEMNIFY and
HOLD HARMLESS all of the Releasees from any and all liabilities incident to my involvement or participation
in the Program, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by the laws of
the State of Missouri.
6. I have received and carefully read each and every rule and regulation of The City League and agree to be
bound by the terms and conditions of such rules and regulations, as the same may be changed from time to
time, without notice, by The City League. I understand that my failure to abide by any such rules or regulations,
or the directive of the officials or authorized personnel of The City League, may result in remedial action
including, but not limited to, my immediate dismissal from the Program and forfeiture of monies paid for my
participation in the Program.
FORM I HAVE CAREFULLY READ AND UNDERSTAND THE TERMS OF THIS LEGAL DOCUMENT AND
UNDERSTAND THAT THIS DOCUMENT IS INTENDED AND SHALL BE CONSTRUED TO BE A FULL
AND FINAL RELEASE AND WAIVER OF ALL CLAIMS AGAINST THE RELEASEES AND AN
INDEMNIFICATION FROM ALL LIABILITIES.
 

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