Nike Footwear Trialing Liability Release
For All Players That Wish To Paricipate In Nike Activity During Dallas Cup
PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK
Dallas Cup XXXI – 3/28/10-4/4/10
Last Name:_____________________________ First Name:_________________________ Middle Initial:____ Date: _____/_____/_____ DOB:____/____/____
Email:________________________________________ Phone Number:________________________________
PLEASE READ CAREFULLY, SIGN AND RETURN
In consideration of the opportunity to participate in the Nike Footwear Trialing and other events and activities related to my participation
(collectively, the “Events”), I, the undersigned, acknowledge and agree that:
1. Participation in or attendance at the Events involve inherent risks and dangers of accidents, personal and bodily injury (including death) and
property loss or damage. These may result from my own actions or inactions, as well as the actions or inactions of others, the rules of play, and
the condition of the facilities and equipment. Further, there may be other risks not known to me and not reasonably foreseeable at this time. I
have considered the nature and extent of the risks involved and I voluntarily choose to assume all such risks, both known and unknown, even
those risks that result from the negligence of the Released Parties (defined below) or others and assume full responsibility for my participation in
the Events. I consent to treatment in the event of an emergency or other incident in which, in the reasonable judgment of the on-site personnel, I
require medical care.
2. I am aware of, and agree to comply with, all rules, regulations, and bylaws of my state association and of any national federation responsible
for administering or regulating interscholastic athletics, and of the NCAA or other regulatory authority, that may be applicable to my participation
in the Events. I understand the consequences of any failure to comply with such rules, including but not limited to, loss of my eligibility to
participate in future athletic contests in any sport at the high school, collegiate or other level.
3. I understand that the Events may be photographed, videotaped, or otherwise recorded, and I agree that NIKE may use my name and
likeness (in any form and without regard to distortions of character, form or color, or any other alteration) in photographs, videotapes,
audiotapes, and other media, without any additional consideration to me or to any third party.
4. I, for myself and on behalf of my heirs, estate, insurers, successors and assigns, hereby release, indemnify and hold harmless NIKE Inc., other involved parties and their affiliates, officers, directors, shareholders, employees, agents and representatives, and the successors, assigns, and insurers of such entities, and any consultants, sponsors, advertisers, owners or lessors of premises used in connection with the Events, (collectively, the “Released Parties”), with respect to any and all claims or causes of action I may have for damages
for personal or bodily injury, disability, death, loss or damage to person or property, whether arising from the negligence of any or all of the
Released Parties or otherwise, to the fullest extent permitted by law.
I have read this Release of Liability and Assumption of Risk Agreement, fully understand its terms and understand that I am giving up substantial rights by signing it. I sign this Release of Liability and Assumption of Risk Agreement freely and voluntarily, without any inducement or coercion.
I certify that
I am over the age of majority (18 years of age or older in most states), or
I have my parent’s or guardian’s consent as indicated below.
___________________________________________________________________________________ ________________________________________
PARTICIPANT SIGNATURE DATE SIGNED
IF THE PARTICIPANT IS NOT THE AGE OF MAJORITY (18 YEARS OF AGE OR OLDER IN MOST STATES), THE PARENT OR GUARDIAN SHOULD READ AND SIGN BELOW:
I am the parent or legal guardian of ___________________________________________________ (the “Participant”). On behalf of the Participant, I hereby irrevocably
and unconditionally agree to all of the terms of the Release of Liability and Assumption of Risk Agreement. I also, for myself and on behalf of my heirs, estate,
insurers, successors and assigns, hereby release, indemnify and hold harmless the Released Parties (defined above), with respect to any and all claims or causes of
action I may have for damages for personal or bodily injury, disability, death, loss or damage to person or property, whether arising from the negligence of any or all
of the Released Parties or otherwise, to the fullest extent permitted by law.
_____________________________________________________ ____________________________________________ ________________________________
PARENT OR GUARDIAN SIGNATURE PRINT NAME DATE SIGNED
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