Khatovar Adult Waiver

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KHATOVAR MEDIEVAL COMBAT SOCIETY
located in Alliance, Ohio
WAIVER AND RELEASE

In consideration of receiving permission from Khatovar Medieval Combat Society (KMCS) to participate as a member of the KMCS and to participate in any activity, event, tournament, contest or meeting that KMCS participates, sponsors, attends, or supervises, the Undersigned releases KMCS, the City of Alliance, the owner of any premises where any KMCS activity, event, tournament, contest or meeting occurs, and any other member of the KMCS, individually, from any and all liability, claims, demands, actions, and causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned, while participating in any activity, event, tournament, contest or meeting that Belegarth KMCS participates, sponsors, attends or supervises.

The Undersigned being duly aware of the risks and hazards inherent upon participating in any activity, event, tournament, contest or meeting of the KMCS, elects voluntarily to participate, knowing that participation requires physical contact by others to the person of the Undersigned and knowing that such participation may become hazardous and dangerous during the time that the Undersigned voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned while participating in any activity, event, tournament, contest, or meeting that the KMCS participates, sponsors, attends or supervises.

This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned.

In signing the foregoing release, the Undersigned acknowledges and represents:

  1. That he or she has read the above release, understands it, and signs voluntarily;
  2. That he or she is over 18 years of age and of sound mind;
  3. Undersigned represents that he or she has no physical or mental defects known to the Undersigned and unknown to the appropriate representative of the KMCS that would endanger or harm the Undersigned while participating in any activity, event, tournament, contest or meeting that the KMCS participates, sponsors, attends, or supervises. 





__________________________________________     __________________________________________  
Undersigned (Sign name here)                   Undersigned (Print name here)
 

__________________________________________     __________________________________________
Address                                        City, State, and Zip
 

_________________________________________      __________________________________________
Phone                                          E-Mail  
 

__________________________________________     __________________________________________ 
Name of person to contact in emergency         Emergency phone number
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