Adult Waiver


Adult Participant Name:   

Date 

WAIVER OF LIABILITY, RELEASE, ASSUMPTION OF RISK AND INDEMNIFICATION AGREEMENT

(MINOR ADULT)

1. Release, Covenant Not to Sue, and Agreement To Indemnify.

A. I hereby knowingly and voluntarily, FOREVER RELEASE, DISCHARGE AND AGREE TO HOLD

HARMLESS all HGI Parties from any and all claims, demands, or causes of action of any kind which

are in any way associates with, related to, and/or arising from Participant’s presence at and/or use

of HGI’s Facilities and/or participation in HGI Activities, including but not limited to, those for losses,

injuries or damages pertaining to any property loss, personal injury, or death suffered or sustained

by me, whether or not such losses, injuries or damages are caused solely, or in part by the

negligence (including ordinary negligence and gross negligence), recklessness, carelessness or other

fault of any of the HGI Parties (“Claims(s)”) now and in the future. I agree to indemnify all HGI

Parties for any and all costs, charges or expenses, including reasonable attorneys’ fees incurred in

connection with any said Claim now and in the future.

B. I hereby understand, agree and acknowledge that by signing this Agreement, I VOLUNTARILY

WAIVE AND RELEASE ANY RIGHT TO SUE OR OTHERWISE BRING ANY CLAIM (as defined above), AND

WILL BE PRECLUDED FROM, SUING OR OTHERWISE BRINGING ANY CLAIM (as defined above) against

any of the HGI Parties including, but not limited to, any Claim for losses, injuries or damages

pertaining to any property loss, personal injury, or death suffered or sustained by me, whether or

not such losses, injuries or damages are caused solely or, in part, by the negligence (including

ordinary negligence and gross negligence), recklessness, carelessness or other fault of any of the HGI

Parties. This also means that a Claim cannot be pursued by me or on behalf of the me against any of

the HGI Parties for contribution or indemnity (or to share the liability) if a claim, demand, or cause of

action of any kind is asserted against me which is in any way associated with, related to, and/or

arising from my presence at and/or use of HGI Facilities and/or participation in HGI Activities.

C. I hereby understand, agree and acknowledge that if suit or other claim of any kind is brought on

behalf of me against a part other than HGI Parties for any property loss, personal injury, or death

suffered or sustained by me which is any way associated with, related to, and/or arising from my

presence at and/or use of HGI’s Facilities and/or participation in HGI Activities and any HGI Parties

become a party to such claim or suit, then, IN ORDER TO RELIEVE ANY GHI PARTIES FROM LIABILITY

TO MAKE CONTRIBUTION TO ANOTHER PARTY, ANY MONEY JUDGEMENT OBTAINED AGAINST ANY

SUCH OTHER PARTY SHALL BE RELEASED AND REDUCED TO THE EXTENT OF THE HGI PARTIES’ PRO

RATA SHARE OF DAMAGES RECOVERABLE AGAINST ALL OTHERS.

D. Furthermore, I hereby covenant, warrant and agree that should I, or my heirs, representatives,

assigns or estates, breach this Agreement by commencing a lawsuit, or by otherwise bringing a

Claim against any of the HGI Parties which is in any way associates with, related to, and/or arising

from my presence at and/or use of HGI’s Facilities and/or participation in HGI Activities, pursuant to

this Agreement, I SHALL INDEMNIFY AND BE INDIVIDUALLY AND JOINTLY LIABLE TO HGI Parties for any and all costs, damages, losses, and expenses, including judgments, fines, settlements, punitive

damages and attorneys’ fees, arising from any such threatened, pending or instituted Claim, where

civil, criminal, administrative or arbitrative, and any appeal to such a Claim.

2. Governing Law. I hereby understand, agree and acknowledge that this Agreement shall be

construed under the internal laws of the Commonwealth of Pennsylvania without reference to

conflict of laws principles, as broadly and inclusively as is permitted thereby; and that if any portion

of provision of this Agreement shall be held invalid, illegal or unenforceable, this shall not affect the

validity or enforceability of any other provision of this Agreement. This Agreement may not be

amended or modified except by an agreement in writing signed by the party against whom the

enforcement of any modification is sought.

3. Acknowledgements. I hereby understand, agree and acknowledge: (A) THAT I HAVE HAD

SUFFICIENT OPPORUTNITY TO READ THIS ENTIRE DOCUMENT; (B) THAT I HAVE READ AND

UNDERSTAND THIS DOCUMENT, AND AGREE TO BE BOUND BY ITS TERMS; (C) THAT I HAVE NOT

RELIED ON ANY ORAL OR WRITTEN REPRESENTATIONS MADE BY HGI OR ANY OF ITS MEMBERS,

OWNERS, EMPLOYEES, OFFICERS, AGENTS OR REPRESENTATIVES; (D) THAT I AM FULLY AWARE THAT

THERE ARE RISKS CONNECTED WITH PARTICIPANT’S USE OF HGI’s FACILITIES AND PARTICIPATION IN

HGI ACTIVITIES AND; (E) THAT I AM SIGNING THIS DOCUMENT VOLUNTARILY, AND OF MY OWN

FREE WILL.

4. Continuing Nature. I understand, agree and acknowledge that the releases, covenants, promises,

warranties and obligation.

READ BEFORE SIGNING

I have reviewed the CDC website at cdc.gov/headsup regarding concussions.

Participant’s Address:   

Participant’s Telephone Number: 

Her Game International https://www.hergame.com
Signature Certificate
Document name: Adult Waiver
Unique Document ID: 063bd6d777ba4480c2a9fefd0341022b2258bf46
Timestamp Audit
2015-11-20 00:06:23 EDTAdult Waiver Uploaded by Keith Amen - rufonetllc@gmail.com IP 76.99.39.99