Waiver Form - Wilbros Live

WAIVER FORM FOR MINOR
As parent or legal guardian of , age (“Minor”), I hereby

confirm that Minor has requested or voluntarily consented to enter the _____________________________(“Venue”),
to participate in the ____________________________________________________________________ (“Activity”),
organized by WILBROS ENTERTAINMENT, INC. (“Promoter”) or any of its related companies and “Co-Sponsor” and
that I have consented to Minor’s participation in the Activity. I understand that the Activity involves certain risks of
injury to my child, including but not limited to falling, colliding with others and with the barricades, tripping, losing
balance, and slipping on wet, slick, or uneven walking surfaces. Participation also includes possible exposure to an
illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline
may reduce this risk, the risk of serious illness does exist. I represent that my child is in good health and physically
capable of safely participating in the Activity.
In consideration of the consent given by Venue and Promoter for Minor to participate in the Activity, I agree personally
and on behalf of Minor to assume all risks associated with the Activity and hereby release and hold harmless and
indemnified Venue, Promoter, Co-Sponsors and the related and/or affiliated companies and the officers, agents and
employees of each of them (collectively, “Releases”), of and from any liability whatsoever for any and all claims,
whether brought by or on behalf of Minor or myself, for any loss, liability or damage of any kind (including, without
limitation, personal injuries, illness, death, loss of consortium, damage to or destruction of property, rights of publicity
or privacy, defamation or portrayal in a false light) and any related attorney’s fees and court costs (collectively
“Damages”) arising from or in connection with the Activity, including, without limitation, Minor’s travel to and from and
attendance at the Activity, and WHETHER DAMAGES ARE CAUSED BY THE NEGLIGENCE OF THE RELEASEES
OR OTHERWISE.
I realize that (i) this Liability Release (“Release”) refers to and covers events that may take place after the signing of
this document and that the exact nature of any injury or loss Minor may suffer as a result of his/her participation in the
Activities may not be entirely foreseeable; (ii) the terms of this Release mean that I may be waiving certain rights; and
(iii) if any portion of this Release is determined to be invalid, illegal or unenforceable, that portion shall be severable,
and the balance of the Release shall not be affected or impaired in any way and shall continue in full legal force and
effect. I further warrant that: (a) I HAVE VOLUNTARILY EXECUTED THIS RELEASE OF MY OWN FREE WILL,
WITHOUT DURESS OR PRESSURE FROM ANY PERSON, ON BEHALF OF MY MINOR CHILD; (b) I
UNDERSTAND AND ACKNOWLEDGE THAT BY SIGNING THIS RELEASE I AM GIVING UP CERTAIN LEGAL
RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES IN CASE OF INJURY, ILLNESS, DEATH OR
PROPERTY DAMAGE; (c) I HAVE READ THIS ENTIRE RELEASE CAREFULLY, AND I FULLY UNDERSTAND ALL
OF ITS TERMS AND CONDITIONS; (d) MY SIGNATURE BELOW IS AN ACKNOWLEDGMENT THAT I HAVE HAD
AN OPPORTUNITY TO CAREFULLY READ THE ENTIRE RELEASE AND TO HAVE ANY QUESTIONS
ANSWERED TO MY SATISFACTION.
Name of Parent/Guardian [Print]:
Signature:
Date:
Address:
Contact Number:
Witness Name [Print]:
Signature:
Date:
Address:
Contact Number:
WAIVER & RELEASE OF LIABILITY FORM
PRE-EXISTING CONDITION WAIVER, MEDICAL TREATMENT CONSENT, AND RELEASE FROM LIABILITY
I, , the undersigned, hereby acknowledge and represent that I am

over eighteen (18) years of age and have been informed by a licensed physician that I/or my child (relationship with
participant) have the following physical condition(s): Notwithstanding the above condition(s), I hereby represent and
agree to the following:
1. I have been medically cleared by my physician to participate in ___________________________
(hereinafter referred to as “ACTIVITY”) and agree to provide written confirmation of said clearance upon
request.
2. I understand that during the course of the event, I may be required to participate in physically demanding
activities.
3. I fully understand that my participation in “ACTIVITY” may result in the deterioration or aggravation of my
pre-existing condition(s). Nonetheless, I acknowledge and accept the risks and desire to continue with my
participation in “ACTIVITY” and all activities and events relating to the event.
4. In connection with any injury or other medical conditions I may experience during the Event, I consent to be
removed and authorize whatever medical treatment is deemed necessary by medical and event personnel,
in their discretion. I further agree that I will be fully responsible for payment of any and all medical services,
ambulance transport service and treatment rendered to me.
5. In light of the foregoing, I hereby fully waive, release, hold harmless and indemnified, and discharge Wilbros
Entertainment, Inc., the “VENUE”, “ACTIVITY” organizers, promoters and sponsors and all their related
affiliate entities, companies and/or organizations, as well as its respective directors, officers, employees,
agents, representatives and volunteers (individually and in their official capacities) from any and all claims,
judgments, liability, and any and all losses, damages, and expenses related to any injuries and illnesses,
and any and all manners of personal injury including death and permanent disability, arising out of or in any
manner related to my participation.
6. In addition to this Pre-Existing Condition Waiver and Release, I agree and acknowledge that I have fully
reviewed and freely signed “ACTIVITY” Waiver and Release of Liability Form.
7. I hereby certify that I have read this document in its entirety and fully understand its contents. I am further
aware that this is a release and waiver of liability which I have agreed to sign of my own free will.
Participant Name [Print]:
Date of Birth:
Address:
Emergency Contact Person:
Contact Number:
Participant Signature:
Date:
[If Participant is Minor]
Name of Guardian: Relationship:
Signature: Date:

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WAIVER FORM FOR MINOR

As parent or legal guardian of , age (“Minor”), I hereby

Name of Parent/Guardian [Print]:

Witness Name [Print]:

I, , the undersigned, hereby acknowledge and represent that I am

Participant Name [Print]:

Emergency Contact Person:

[If Participant is Minor]

Name of Guardian: Relationship:

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