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<br />BURNSVILLE SKA TE PARK <br /> <br />VOLUNTARY RELEASE, ACKNOWLEDGE11ENT <br />AND ACCEPTANCE OF RISKS BY PARTICIPANT <br /> <br />(please read carefuHy before signing) <br /> <br />Participant Name: <br /> <br />Date: <br /> <br />(please print) <br /> <br />Address: <br /> <br />In order to participate in this activity, I agree to hold the City of Burnsville, any promoters, <br />officials, advertisers, and property owners harmless, and I waive any right to make claims or lawsuits <br />against them. I acknowledg~ that this is not an essential service provided by the City of Burnsville. <br /> <br />-. <br />I understand and acknowledge that the activities that I am about to voluntarily engage in as a <br />participant have certain known and unknown risks. Some of these risks include the risks inherent in <br />skating such as falling and coming into contact with ramps and walls, latent or apparent defects or <br />conditions in equipment or property, and passive or active negligent acts of myself, the City of Burnsville, <br />promoters, officials, advertisers, and property owners. I understand that the above list is not complete or <br />exhaustive and that those and other risks known or unknown, anticipated or unanticipated may also result <br />in injury, death, illness, disease or damage to myself or my property or other third parties. I voluntarily <br />agree and promise to accept and assume all responsibilities, and injuries, death, illness, disease or damage <br />to myself or my property arising from my participation in this activity. <br /> <br />This waiver does not apply to any injuries or damages that are the result of willful, wanton, or <br />intentional misconduct. My participation in this activity is voluntary and no one is forcing me to <br />participate in spite of the risks. I understand the effect ofthis waiver and acceptance of risk on my legal <br />rights. <br /> <br />My signature indicates that I have read this entire document, understand it completely, <br />acknowledge that it cannot be modified or changed in any way by oral representations, and agree to be <br />bound by its terms. 111is agreement shall be binding on behalf of myself, my heirs, assigns, personal <br />representative and estate. <br /> <br />Signature: <br /> <br />If participant is under 18 years old, this release must be co-signed by his/her parent or guardian. <br /> <br />Parent/Guardian: <br /> <br />Date: <br /> <br />Parks & Rec 2001 <br /> <br />-129- <br />