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<br />
<br />Attachment D
<br />
<br />Skate Park
<br />
<br />Voluntary Release, Acknowledgment
<br />and Acceptance of Risks by Participant
<br />
<br />Participant Name:
<br />Address:
<br />
<br />(Please read carefully before sigJIing)
<br />Date:
<br />
<br />~'
<br />
<br />In order to participate in this activity, I agree to hold the city of ,
<br />any promoters, officials, advertisers, and property owners harmless, and I waive any right to make
<br />claims or lawsuits against them. I acknowledge that this is not an essential service provided by the
<br />city of
<br />
<br />I understand and acknowledge that the activities I am about to voluntarily engage in as a
<br />participant have certain risks. I understand that these risks known or unknown, anticipated or
<br />unanticipated may also result in injwy, death, illness, disease or damage to myself or my property
<br />\ or other third parties. I vobmtarily agree and promise to accept and assume all responsibilities, and
<br />injuries, death, illness, disease or damage to myself or my property arising from my participation in
<br />this activity.
<br />
<br />This waiver does not apply to any injuries or damages that are the result ofwillful, wanton, or
<br />inten1ional misconduct. My participa1ion in this activity is voluntary and no one is forcing me to
<br />participate in spite of the risks. I understand the effect of this waiver and acceptance of risk on my
<br />legal rights.
<br />
<br />My signature indicates that I have read this entire documen~ understand it completely,
<br />acknowledge that it cannot be modified or changed in any way by oral representations, and agree to
<br />be bound by its terms. This agreement shall be binding on behalf of myself, my heirs, assigns,
<br />personal representative and estate.
<br />
<br />Signature:
<br />
<br />Ifparticipant is under 18 years old, this release must be co-signed by a parent or guardian.
<br />
<br />Parent/Guardian:
<br />
<br />Date:
<br />
<br />..>{
<br />
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