MWP Liability and Publicity Waiver 2020

MY WARRIOR'S PLACE & ITS PROGRAMS

Liability and Publicity Waiver for USE OF AMENITIES and EVENTS at MWP for 2020
I UNDERSTAND AND AGREE THAT THIS LIABILTY and PUBLICITY WAIVER FOR USE OF AMENITIES AT MWP IS VALID FROM THE DATE SIGNED BY ME BELOW THROUGH MIDNIGHT ON DECEMBER 31st 2020.
Legal Name (First & Last) *
E-mail *
Phone Number *
Include area code
I am a (Check all that apply):

Military Service Member Law Enforcement Officer Firefighter Veteran Law Enforcement (Retired) Firefighter (Retired) Blue Star Family Member LEO Family Member Firefighter Family Member Gold Star Family Member Silver Star Family Member GUEST of an American Hero
I UNDERSTAND AND AGREE THAT DURING THE YEAR 2020, WHEN I COME TO MY WARRIOR'S PLACE, I HAVE THE ABILITY TO USE ANY, BUT NOT LIMITED TO, THE FOLLOWING AMENITIES: Kayaks, Canoes, Paddle Boats, Paddle Boards, Other MWP Vessels, Fishing from Docks or Property, Use of Grills, Use of Putting Green, Use of Bikes, Use of Outdoor Event Area, Use of Dog Park, Use of any other amenities not listed including Launching my own vessel. I also understand and agree that if I am a guest of an American Hero, I am not allowed to use the amenities at My Warrior's Place unless I am with them.
Please inform us of any condition (medical or physical) that we need to know about for your safety or the safety of any minor children you may be bringing with you to MWP.
Liability Release:

I understand and agree to hereby release My Warrior's Place, Inc. and its Programs, Directors, Officers, Employees, Agents, Representatives and Volunteers, and each of them, and any related parties from any and all claims for injury, death or property damage suffered by me either as a willing participant or as a spectator throughout an activity or event that was conducted by or made possible by the efforts of My Warrior's Place and/or any of its programs and any of its “Parties Released” as stated above, even if such is caused by the negligence or fault of the “Parties Released”.
I agree to the above Liability Release *

Yes No
My Initials act as my signature: *
Publicity Permission:

Videotaping and/or photography may occur during your time out at MWP. I understand that My Warrior's Place & its programs may use such material in future publicity, website and/or any additional outlets for educational and/or promotional efforts. I consent to having my voice and/or image recorded or photographed for use as outlines above.
I agree to the above Publicity Permission *

Yes No
My Initials act as my signature: *
*Note: If bringing any minor children (under the age of 18) with you, you must be their parent or legal guardian and provide the name and age of all children you will be bringing to MWP.
Name of Minor Child:
Age:
Name of Minor Child:
Age:
Name of Minor Child:
Age:
Name of Minor Child:
Age:
Name of Minor Child:
Age:
Name of Minor Child:
Age:
Liability & Publicity Release for Minor Children:

I understand and agree to hereby release My Warrior's Place, Inc. and its Programs, Directors, Officers, Employees, Agents, Representatives and Volunteers, and each of them, and any related parties from any and all claims for injury, death or property damage suffered by any of the minor children listed above either as a willing participant or as a spectator throughout an activity or event that was conducted by or made possible by the efforts of My Warrior's Place and/or any of its programs and any of its “Parties Released” as stated above, even if such is caused by the negligence or fault of the “Parties Released”. Also, I understand that Videotaping and/or photography may occur during our time out at MWP. I understand that My Warrior's Place & its programs may use such material in future publicity, website and/or any additional outlets for educational and/or promotional efforts. I consent to any minor children with me, as listed above, having their voice and/or image recorded or photographed for use as outlines above. I am legally able to waive these rights for the minor children listed above who will be with me and I am personally responsible for them.
I agree to the Release for Minor Children

Yes No
My Initials act as my signature:
Date Submitted

Month Day Year
My Warrior's Place and all of our Programs appreciates the sacrifice and service made by all of our American Heroes and their families.
Should be Empty:

MY WARRIOR'S PLACE & ITS PROGRAMS

Liability Release:

Publicity Permission:

Liability & Publicity Release for Minor Children: