By participating in this activity I acknowledge:
1) The risk of injury or illness from the activities involved in this sport is significant,
including the potential for permanent paralysis and death; and while particular rules,
equipment, and personal discipline may reduce this risk, the risk of serious injury or
illness does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH
RISKS, both known and unknown, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASEES, NAMED OR OTHERWISE DEFINED
BELOW, and assume full responsibility for my participation AND OTHERWISE
HOLD HARMLESS THE RELEASEES; and,
2) I am responsible for myself. I willingly agree to comply with all event rules, venue
rules, and to follow the directions of the event officials and conditions for
participation. If, however, I observe any unusual or significant hazard during my
presence or participation, I will remove myself from participation and bring such
hazard to the attention of the nearest official immediately; and,
3) I, for myself and on behalf of my heirs, assigns, personal representatives and
next of kin, HEREBY RELEASE AND HOLD HARMLESS Joy Riders VT,
Vermont Skate Society, Green Mountain Roller Derby, the City of Burlington, Burlington Parks and Recreation and any other the event host, sponsor, organization or club associated with this or any other event; and the officers, directors, officials, agents, and/or employees of those entities, as well as other participants, sponsoring agencies, commissions, advertisers, volunteers, and, as applicable, the owners, lessors, and/or managers of any premises used for any club activities and/or special events (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, or DISABILITY to myself, including my DEATH, or any other loss or damage to my person or my property (“DAMAGES”), WHETHER such Damages are the direct or proximate result of actions OF THE RELEASEES, NEGLIGENT OR OTHERWISE.
4) I also acknowledge that photographs and video may be taken of me in my
participation in, and attendance at this event or club activity, and hereby freely
agree to allow without restriction all uses of such photos and videos in the reporting
of club activities, and/or in the promotion of such, its location, other sporting events,
sport in general, and/or related purposes.
By signing below I acknowledge that I HAVE READ THIS RELEASE OF
LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND
ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS
BY SIGNING IT, AND SIGN IT FREELY.