ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY AND
INDEMNITY AGREEMENT
In consideration for permitting Participant to participate as a volunteer in Champions Run Junior Sports as
directed by the relevant staff, the undersigned, for themselves, and for their respective heirs,
personal representatives and assigns, agree as follows:
Assumption of Risk: The undersigned hereby acknowledge and agree that they understand
the nature of the Event; that Participant is qualified, in good health, and in proper physical
condition to participate therein; that there are certain inherent risks and dangers associated with
the Event; and that, except as expressly set forth herein, they, knowingly and voluntarily,
accept, and assume responsibility for, each of these risks and dangers, and all other risks and
dangers that could arise out of, or occur during, Participant’s participation in the Event.
Release and Waiver: The undersigned hereby RELEASE, WAIVE, DISCHARGE AND
COVENANT NOT TO SUE Champions Run and its member
institutions, or any subdivision
thereof, and each of them, their officers and employees, (collectively, the “Releasees”), from
and for any liability resulting from any personal injury, accident or illness (including death),
and/or property loss, however caused, arising from, or in any way related to, Participant’s
participation in the Event, except for those caused by the willful misconduct, gross negligence or
intentional torts of the above parties, as applicable.
Indemnification and Hold Harmless: The undersigned also hereby agree to INDEMNIFY,
DEFEND AND HOLD the Releasees HARMLESS from any and all claims, actions, suits,
procedures, costs, expenses, damages and liabilities including, but not limited to, attorney’s
fees, arising from, or in any way related to, Participant’s participation in the Event, except for
those arising out of the willful misconduct, gross negligence or intentional torts of the above
parties, as applicable.
Permission to Use Likeness/Name: The undersigned further agree to allow, without
compensation, Participant’s likeness and/or name to appear, and to otherwise be used, in
material, regardless of media form, promoting the National Collegiate Athletic Association,
and/or its championships, events and activities, including those of its representatives and
licensees.
Severability: The undersigned expressly agree that the foregoing assumption of risk, release
and waiver of liability and indemnity agreement is intended to be as broad and inclusive as is
permitted by the law of the State of Nebraska and that if any portion thereof is held
invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
Acknowledgment of Understanding: The undersigned have read this assumption of risk,
release and waiver of liability and indemnity agreement, and have had the opportunity to ask
questions about the same. The undersigned fully understand this assumption of risk, release
and waiver of liability and indemnity agreement, that the undersigned are giving up substantial
rights in connection therewith, and that its terms are contractual, and not a mere recital. The
undersigned acknowledge that they are signing this agreement freely and voluntarily.
Minor Model Release
(For pictures and Videos that may be taken over the season. These will be included in our end of the year swim team video and MAY be posted to our social media pages)
For valuable consideration, I hereby confer Champions Run the absolute and irrevocable right and permission with respect to the photographs and videos that he/she has taken of my minor child in which he/she may be included with others:
a) To copyright the same in Champions Run name or any other name that he/she may select;
b) To use, re-use, publish and re-publish the same in whole or in part, separately or in conjunction with other photographs or videos, in any medium now or hereafter known, and for any purpose whatsoever, including (but not by way of limitation) illustration, promotion, advertising and trade, and;
c) To use my name or my child’s name in connection therewith if he/she so decides.
I hereby release and discharge Champions Run from all and any claims and demands ensuing from or in connection with the use of the photographs or videos, including any and all claims for libel and invasion of privacy.
This authorization and release shall inure to the benefit of the legal representatives, licensees and assigns of Champions Run as well as the person(s) for whom he/she took the photographs or Video.
I have read the foregoing and fully understand the contents hereof. I represent that I am the [parent/guardian] of the above named model. For value received, I hereby consent to the foregoing on his/her behalf.
By clicking submit you agree to these terms.
