Sunflower State Games Regatta

  • Hosted By Topeka Rowing Association

                     Sunflower State Games Individual Sport Waiver

This document is important, must be read in its entirety and signed before any athlete is allowed to participate.

___________________________________                               ________________________________

             Printed Name                                                                                          Sport

MANDATORY WAIVER: In consideration of being allowed to participate in, or assisting others in

participating in the Sunflower State Games athletic program, its related events and activities, the undersigned

acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent

paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of

serious injury does 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,

4. I hereby consent to allow my picture and/or voice or likeness to appear in any official documentary, promotional,

exclusive television, radio or film coverage of the Sunflower State Games in any manner incidental to my participation

in the Sunflower State Games and without compensation to me; and,

5. I, for myself, and on behalf of my heirs, assigns personal representatives and next of kin, HEREBY RELEASE AND

HOLD HARMLESS the Sunflower State Games, 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, disability, death, or loss or damage to person or property. Whether

arising from the negligence of the releasees or otherwise.

6. I understand the following refund policy: There will be no refunds of entry fees except for entries received after the

deadline, entries received after the maximum number of participants have been registered, or if there are not enough

participants to form a division. No refunds will be permitted simply because an athlete fails to participate or for in

climate weather.

7. I pledge to adhere to the Sunflower State Games standards of sportsmanship and respect opponents, coaches, officials

and spectators at all times by not engaging in verbal or physical altercations at any time before, during, or after

competition.

I have read this release of liability and assumption of agreement, fully understand its terms, understand that I have given up

substantial rights by signing it and sign it freely and voluntarily without inducement. I also understand that I must provide

my own personal injury insurance.

____________________ __________________________________________________ _________________

Date Participant’s Signature Age

FOR PARTICIPANT OF MINOR AGE (under 18 at time of registration) This is to certify that I, as parent/guardian with

legal responsibility for this participant, do consent and agree to his/her release as provided about of all the Releasees, and,

for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any

and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN

IF ARISING FROM THE NEGLIGENCE OF THE RELEASES, to the fullest extent permitted by law.

__________________                                      _____________________________________________

           Date                                                                              Parent/Guardian’s Signature