Adult Event Waiver and Release of Liability

In consideration of the opportunity afforded me to participate in the Strike & Spare Bowling Tournament referenced above (collectively, the "Activity"), wherever the Activity may occur, I now attest that, after reading this Form entirely and carefully, I acknowledge that my participation in the Activity is entirely voluntary. I further understand and agree as follows:

In light of the aims and purposes of the community service provided by RTKC in organizing this Activity, I, the undersigned, now waive any right or cause of action arising as a result of my participation in any RTKC activity from which any liability may or could accrue against RTKC or its officers and directors collectively or individually. Without limiting the generality of the preceding, I agree that this waiver shall include any rights or causes of action resulting from personal injury to me or damage to my property sustained in connection with my activities while participating in said RTKC Activity. Further, I agree to hold RTKC, and all persons participating in any RTKC Activity, blameless for any accident while in transport while participating within an RTKC Activity.

I understand that in the case of an illness or injury to myself, an RTKC volunteer will try to phone the emergency contacts provided, and I will allow them to secure medical treatment for those health conditions. If need be, I permit the attending physician to ensure the proper treatment and to hospitalize if necessary. I, the undersigned, release RTKC, RTKC workers, donors/supporters/shareholders of RTKC, and anyone participating on behalf of RTKC from all liability in case of illness or injury at all times while I am volunteering for RTKC. If we do not carry health insurance, then RTKC and its participants are not responsible for the expense of any medical treatment received.
By signing my name below, I also hereby consent to the use of photographs and/or videos of those identified below and/or the statements attached hereto, including my personal name or the firm name, by Rebuilding Together Kansas City and its subsidiary and affiliated companies and their respective dealer and distribution organizations for advertising or publicity in printed, recorded or electronic media. I represent that I am of legal age and that I have the authority to give this consent, which will remain in effect until revoked by me in writing.

Use your mouse to sign in the above box provided.