LUPINE PRODUCTIONS LIABILITY WAIVER
Date Signed: ______
Participant's Name: ______Date of Birth: ______
Address: ______City: ______State: ___ Zip:______
Telephone Number: ______
Emergency Telephone Number: ______
The placing of your signature in the appropriate space provided (see * footnote for a minor person) on this Waiver, Release and/or a Personal Assumption of Risk; singularly or collectively, hereinafter referred to as "Waiver", is an intentional act to unconditionally forever release, indemnify, discharge, defend, and hold harmless, Lupine Productions, it's contractual parties, members, officers, assistants, players, participants, interests and obligations, heirs, assigns and insurers from, including but not limited to, any claims, rights, privileges, actions, demands or conditions resulting from my, voluntary participation in, on, around, and about, the playing areas, parking, rest areas, or any location that is used by Lupine Productions.
Sports are extremely active, physically demanding, and can be openly aggressive. The possibility exists that I can be injured, or permanently disabled by my physical presence in the Lupine Productions playing environment due to; including but not limited to, equipment failure, the forces of nature, circumstances a reasonable person would consider unusual and unforeseen, negligence and/or conduct, hostile or passive, of the Lupine Productionsmembers, agents, servants, minions, spectators and fellow participators, whether actively engaged in a sport as a player or a bystander.
As such, I unequivocally agree and accept that; including but not limited to, any equipment failure, negligence, and/or conduct, contributory or benign, any act; foreseen or unforeseen, absence of an act, whether intentional or unintentional, or by the absent of, or the lapse of, established selective rules of safety and/or sportsmanship that places my safety, present or future health, physical and/or economic well-being in jeopardy, will be embraced within the intent and specifics of this Waiver.
I agree to accept the financial responsibility for the loss or damage to the equipment rented, loaned, or used by me or those I allow to use, including but not limited to, replica weapons, costuming supplies, safety devices, game props, and protective apparatus.
I understand that I am not to participate in a Lupine Productions event or activity until I have willingly and legibly signed this agreement/waiver.
Participant's Signature: ______Date Signed: ______
Parent/Guardian Signature*: ______Date Signed: ______
*In the event, the participant is a person who has not reached their legal age, the person's parent or legal guardian must attend to and accept the intent and specifics of this Waiver on behalf of the minor person.
MULTIMEDIA AGREEMENT
The signing of this waiver is an agreement to allow Lupine Productions to reproduce a player’s or bystander’s likeness in multimedia material for production, promotion, and distribution. Attendance of a Lupine Production event or activity means you are aware of content being filmed, recorded, and/or photographed and can be used in future promotions without further approval or compensation.