Waiver

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EVERYONE MUST COMPLETE THIS FORM BEFORE PLAYING

RELEASE AND WAIVER OF LIABILITY AND
INDEMNITY

 

IN CONSIDERATION of being permitted to participate in activities at the LanBattle Lan Party
for any purpose, including, but not limited to observation, use of facilities or equipment or 
participation in any way.

THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS 
NOT TO SUE the LanBattle Lan Party, its officers, agents, or employees (hereinafter referred
to as 'releasees') from all liability to the undersigned for any loss or damage and any claim or 
demands therefore on account of injury to the person or property or resulting in death of the 
undersigned, whether caused by the negligence of the releasees or otherwise, while the 
undersigned is in, upon, or about the premises or any facilities or equipment therein.

THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD 
HARMLESS the releasees and each of them from any loss, liability, damage or cost they may 
incur due to the presence of the undersigned in, upon or about the LanBattle Lan Party , or in 
any way observing or using any facilities or equipment of the LanBattle Lan Party, whether 
caused by the negligence of the releasees or otherwise.

THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF 
BODILY INJURY, DEATH OR PROPERTY DAMAGE due to the negligence of releasees or 
otherwise while in, about or upon the premises of the LanBattle Lan Party or while using the 
premises or any facility or equipment hereon.

THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND 
INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law
of the State of Indiana and that if any portion thereof is held invalid, it is agreed that the 
balance shall, notwithstanding, continue in full legal force and effect.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND
WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements or inducement apart from the foregoing written agreement have
been made.

I have read and agree to the terms of this release


_________________________________    
Signature

___________________________
Date

_______________________________________
Printed Name


Staff use only

Form of ID: ________________________

ID #: _____________________________

 
Verified by:________________

 Seat #: ___________________

 
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