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CTI/EAE ATHLETE WAIVER/RELEASE FORM ("AGREEMENT")
IN CONSIDERATION of being permitted to participate in any way in any COACHES TEAM INTERNATIONAL
OR EAST ASIA ELITE. activity ("Activity") I, for myself, my personal representatives, assigns, heirs, and next of
kin: 1. ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified,
in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at
any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity. 2.
FULLY UNDERSTAND that: (a) ATHLETIC ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS
BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("RISKS"); (b) these
Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in
the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES"
NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known
to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND
ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of
the minor in the Activity. 3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE COACHES
TEAM INTERNATIONAL OR EAST ASIA ELITE OR OTHER AFFILIATE ORGANIZATIONS as well as the
officers, directors, agents, employees and assigns of each, and clubs, coaches, officials, administrators, members,
volunteers, participants, sponsors, advertisers, and, if applicable, owners and lessors of premises on which the
Activity takes place, and any other party indemnified and held harmless by CTI/EAE, (each considered one of the
"RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY
ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF
THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, NEGLIGENT
SECURITY, TRAVEL, AND RECREATIONAL OPERATIONS AND ACTIVITIES; AND I FURTHER AGREE
that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT I, or anyone on my behalf, makes a claim against any of the Release’s, I WILL INDEMNIFY,
SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss,
liability, damage, or cost which any may incur as the result of such claim.
Agreement to Participate
I ,or we, grant to the Directors, Assistants, or assigned chaperons of this event to act as guardians/spokesman in
granting permission for emergency treatment/hospitalization (including anesthesia) if necessary for my child en
route to or from or at the site of CTI/EAE event or hospital or other medical facility. I understand that should a
health emergency arise, I will be attempted to be notified, but that if I cannot be reached by telephone, such medical
treatment as deemed necessary by competent medical personnel is authorized. . I hereby state that to the best of my
knowledge the following information is complete:
PERSONAL PHYSICIAN’S
NAME:________________________________________PHONE:__________________________________ I am
presently taking the following medication or
pills:____________________________________________________________________ I am allergic to the
following (medicine, bee/insect stings, other):
____________________________________________________________ I hereby authorize the AAU to allow the
reproduction, dissemination, and/or publication of my name and likeness for media coverage, public relations, or
any other purpose which may involve the use of photographs, films, and/or video tape recording. This is to be done
in conjunction with my participating in this CTI/EAE event and I understand and agree that I may neither pay a fee
to receive individual promotional consideration from my participation in this event, nor will I receive any payment
for the possible commercial use of my name or likeness.
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I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE
GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT
ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND
UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW
AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE,
NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
PRINTED NAME OF PARTICIPANT:__________________________________________________
PHONE:_________________________________________
PARTICIPANT'S SIGNATURE (only if age 18 or over): _______________________________________
DATE:______________________________________________
MINOR RELEASE; AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE
NATURE OF ATHLETIC ACTIVITIES AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND
BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION
TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE,
AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE'S FROM
ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED
OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES"
OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF,
DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIM
AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD
HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS
LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.
PRINTED NAME OF PARENT/GUARDIAN:______________________________________________________
ADDRESS:___________________________________________________________________________________
PHONE: _____________________________________________________________________________________
DATE: _______________________________________________________________________________________
PARENT/GUARDIAN SIGNATURE (only if participant is under the age of 18): ___________________________
