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Waiver and Release

Participating in athletic activities carries an inherent risk of injury, even if the greatest care is exercised. Accordingly, athletes and guests may injure themselves while attending or using our facility and/or while being instructed by Paye’s Place personnel at an offsite location. Therefore, athletes and guests assume all risk of personal injury, death, property loss, or other damages that may relate to participating in any or Paye’s Place activity. By assuming those risks, athletes and guests waive, and release, all claims athletes or guests may have or may want to assert against us, our affiliates’ owners, officers, directors, managers, employees, agents, and representatives (the “Paye’s Place”) for any such personal injuries, death, property loss, or other damages connected to or arising out of any of the aforesaid risks. Athletes and guests release Paye’s Place from all claims, damages, demands, rights of action, causes of action, and liabilities, present or future, known or unknown, anticipated or unanticipated, resulting from or arising out of the athlete’s and guests’ participation in Paye’s Place activities, including, without limitation, those arising from our negligence or that of any other member of the Paye’s Place. Athletes and guests also release all members of Paye’s Place from all liability relating to loss, theft, or damage to personal property.

Date: __________________________

Parent/Guardian/Responsible Party Name (print): __________________________________________

Parent/Guardian/Responsible Party (signature): ____________________________________________

Relationship to athlete: ____________________________

Address: __________________________________________________________________________

City, State, Zip: _____________________________________________________________________

Home Phone: _______________________________ Cell Phone: ____________________________

E-mail: ____________________________________________________________________________

Athlete’s Name (print): _____________________________________________________

Age: _______________ Grade: ___________________ Birth Date: ___________________________



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