Release of Liability - Group
For anyone interested in participating, please provide their details in the form.
You will not be allowed to participate until this form has been submitted.
THE ITALIAN RENAISSANCE SWORDSMANSHIP ACADEMY
RELEASE OF LIABILITY, PROMISE NOT TO SUE, ASSUMPTION OF RISK AND AGREEMENT TO PAY CLAIMS
- Activity: Historical Fencing – Italian Renaissance Swordsmanship Academy
- Activity Date(s) and Time(s): Monday, Tuesdays, Wednesday Thursday, and Fridays at 4:00 pm to 9:00 pm, Saturday and Sunday 10:00 am to 7:00 pm
- Activity Location(s): 705 W. Capitol Expressway Suite 30, San Jose CA 95135
In consideration for being allowed to participate in historical fencing with The Italian Renaissance Swordsmanship Academy, on behalf of myself and my next of kin, heirs and representatives, I hereby waive and release from all liability and promise not to sue Anthony Barajas [hereinafter referred to as “Barajas”] or The Italian Renaissance Swordsmanship Academy [hereinafter referred to collectively as “The Academy”], or their employees, officers, directors, volunteers or agents and hold them harmless from any and all claims, including claims of Barajas or The Academy’s negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic or emotional loss I may suffer because of my participation in Historical Fencing, including travel to, from and during Historical Fencing.
I am voluntarily participating in Historical Fencing. I am aware of the risks associated with traveling to/from and participating in Historical Fencing, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or outcomes may arise from my own or other’s actions, inaction, or negligence; conditions related to travel; or the condition of the Activity location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in this Activity, including travel to, from and during the Activity.
I agree to hold Barajas and the Academy harmless from any and all claims, including attorney’s fees or damage to my personal property, that may occur as a result of my participation in this Activity, including travel to, from and during the Activity. If Barajas or the Academy incurs any of these types of expenses, I agree to reimburse Barajas and/or the Academy. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
I am 18 years or older. I understand the legal consequences of signing this document, including
- (a) releasing Barajas and the Academy from all liability,
- (b) promising not to sue Barajas or the Academy,
- (c) and assuming all risks of participating in this Activity, including travel to, from and during the Activity.
I understand that this document is written to be as broad and inclusive as legally permitted by the State of California. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms.
I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.
If Participant is under 18 years of age:
I am the parent or legal guardian of the Participant. I understand the legal consequences of signing this document, including
- (a) releasing Barajas and the Academy from all liability on my and the Participant’s behalf,
- (b) promising not to sue on my and the Participant’s behalf,
- (c) and assuming all risks of the Participant’s participation in this Activity, including travel to, from and during the Activity. I allow Participant to participate in this Activity. I understand that I am responsible for the obligations and acts of Participant as described in this document. I agree to be bound by the terms of this document.
I have read this two-page document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.
Acknowledgement
In signing this release, the undersigned acknowledges and represents:
- (a) That he or she has read the above release, understands it, and signs voluntarily;
- (b) That he or she is over 18 years of age and of sound mind;
- (c) That, if the undersigned intends to participate in IRSA activities, he or she has no known physical or mental defects that would increase the likelihood of serious injury from such participation;
- (d) That, if signing on behalf of a Minor participant, the undersigned has the legal capacity to do so.
- (e) I hereby irrevocably authorize IRSA to edit, alter, copy, exhibit, publish, or distribute photos taken in the facility or event for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Photos will be used for purposes of advertising only and no sales to any third party will take place.