ACKNOWLEDGEMENT AND ASSUMPTION OF RISK

The undersigned parent and/or legal guardian as well as the participant do hereby acknowledge that they are aware of the dangers and the risks to the participant’s person and property involved in participating in this event.  The undersigned parent and/or legal guardian and participant understand that this activity involves certain risks for physical injury to the participant and there are potential risks of which may presently be unknown.  The undersigned parent and/or legal guardian and participant recognize the potential inherent dangers of participating in this activity and agree to fully comply with applicable laws, policies, rules and regulations, and any instructions given regarding participation in this activity. The undersigned parent and/or legal guardian understands that Gaston County has no responsibility or liability for injury, disability and/or death to the participant or third party resulting from participating in this activity.

The undersigned parent and/or legal guardian acknowledges that the participant voluntarily elects to participate in this activity with knowledge of the danger involved, and hereby agrees to accept and assume any and all risks of property damage, personal injury, disability or death.

In consideration of being allowed to voluntarily participate in the above-referenced event, on behalf of myself, the participant, his/her personal representatives, heirs, next of kin, successors and assigns, the undersigned parent and/or legal guardian forever:

1.       Waives, releases, and discharges Gaston County and its agencies, officers, and employees from any and all liability for the participant’s death, disability, personal injury, property damages, property theft or claims of any nature which hereafter accrue to the participant, and the participant’s estate, as a direct or indirect result of participation in the activity or event.

2.       I also agree to defend, indemnify, and hold harmless Gaston County, its agencies, offices, and employees from any claims of any nature including all costs, expenses, and attorney’s fees which in any manner may result from participant’s actions during this activity or event.  This release, indemnification, and waiver shall be construed broadly to provide a release, indemnification, and waiver to the maximum extent permissible under applicable law.

3.       I, the undersigned parent and/or legal guardian affirm that I am freely signing this agreement.  I have read this form and fully understand that by signing this form I am giving up legal rights and/or remedies which may be otherwise available to myself and the minor participant regarding any property loss, injury, disability, or death the participant may sustain as a result of participation in the activity.  I agree that if any portion of this Waiver of Liability, Indemnification, and Medical Release is held invalid, the remainder will continue in full legal force and effect.