Sign-up Form

AVS ATHLETIC WAIVER
AND RELEASE OF LIABILITY
READ BEFORE SIGNING
In consideration of being allowed to participate in any way in American Vintage
Society athletic and/or fitness program, related events and activities, the undersigned
acknowledges, appreciates, and agrees that:
1. The risks of injury and illness (ex: communicable diseases such as MRSA,
influenza, and COVID- 19) from the activities involved in this program are
significant, including the potential for permanent paralysis and death, and while
particular rules, equipment, and personal discipline may reduce these risks, the
risks of serious injury and illness do exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown,
EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and
assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for
participation. If, however, I observe any unusual significant hazard during my
presence or participation, I will remove myself from participation and bring such
to the attention of the nearest official immediately; and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of
kin, HEREBY RELEASE AND HOLD American Vintage Society and their officers,
officials, agents, and/or employees, other participants, sponsoring agencies, sponsors,
advertisers, and if applicable, owners and lessors of premises used to conduct the event
(“ RELEASEES” ), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS,
DISABILITY, DEATH, or loss or damage to person or property, WHETHER
ARISING FROM THE NEGLIGENCE OF THE RELEASEES 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, UNDERSTAND THAT I
HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND
VOLUNTARILY WITHOUT ANY INDUCEMENT.

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