Humboldt Roller Derby May 15, 2010
HRD All-Stars vs. San Fransisco She Devils &
Redwood Rollers vs. TBD
I acknowledge that Humboldt Roller Derby LLC is an all volunteer organization. By purchasing tickets to the Event, I am helping support the continuation of Humboldt Roller Derby.
In consideration of my viewing of and participation in the Sport Type and Event referenced above and any related activities (collectively, the "Event"), wherever the Event may occur, I agree to assume all risks incidental to such participation (which risks may include, among other things, muscle injuries and broken bones). On my own and on behalf of my heirs, executors, administrators and next of kin, I hereby release, covenant not to sue, and forever discharge the Released Parties (as defined below) of and from all liabilities, claims, actions, damages, costs or expenses of any nature arising out of or in any way connected with my or my participation in the Event and/or any such activities, and further agree to indemnify and hold the Released Parties harmless from and against any and all such liabilities, claims, actions, damages, costs or expenses including, but not limited to, all attorneys' fees and disbursements up through and including any appeal. I understand that this release and indemnity includes any claims based on the negligence, action or inaction of any of the Released Parties and covers bodily injury (including death), property damage, and loss by theft or otherwise, whether suffered by me either before, during, or after such participation. I declare that I am physically fit and have the skill level required to participate in the Event and/or any such activities. I further authorize medical treatment for me at my cost, if the need arises.
For the purposes herein, the "Released Parties" include all Event sponsors, volunteers, directors, officials, advertisers, or charities, and each of their respective parent, subsidiary, affiliated or related companies; and the officers, directors, employees, agents, contractors, subcontractors, representatives, successors, assigns, and volunteers of each of the foregoing entities.
I further warrant that when I am within the 3750 Harrison Street, Eureka California location, (commonly known as Redwood Acres Fairgrounds) I will behave in a respectful manner to both person or property at all times. I warrant that I will not throw any object onto the track at any time. I acknowledge that behavior which could potentially lead to intentional or unintentional bodily injury or injury to property, such as interfering with a player in the commencement of game play, will not be tolerated by the Released Parties. I further grant that any non-compliant behavior that comes to the adverse notice of the Released Parties acting officials will be grounds for my ejection.
I am aware the Released Parties are filming the Bout. I further grant the Released Parties the right to photograph and/or videotape me and further to display, use and/or otherwise exploit my name, face, likeness, voice, and/or appearance in all media, whether now known or hereafter devised, throughout the universe in perpetuity, whether for advertising, publicity, or promotional purposes, without limitation or compensation.
I further acknowledge that I have read and accepted the follow Event Policies: No video, audio or cameras, unless you are from a pre-approved media outlet. No laptops, large bags, wrapped gifts, coolers, weapons, drums, or laser pointers. No confetti or streamers. No unauthorized persons allowed on the track. Permitted bags will be searched.
There is no check-in area for any jackets or for prohibited items, such as cameras.
All patrons are subject to inspection prior to entry. No outside food or beverages. (The only exceptions are medical or special nutritional needs). No alcohol in the parking lots.
No open flame barbecues in the parking lots. Signs are allowed as long as they are not derogatory, obscene, do not block the view of other guests and are not attached to a pole.
No Smoking, except in designated outdoor areas.
I understand that if I am in possession of beverages not purchased from the Humboldt Roller Derby vendor(s), security will have the right to escort me out of the venue and I will not be allowed reentry.
This Waiver and Permission Form shall be governed by the laws of the State of California, and any legal action relating to or arising out of this Waiver and Permission Form shall be commenced exclusively in the state of California (or if such state Court shall not have jurisdiction over the subject matter thereof, then to such other court sitting in such county and having subject matter jurisdiction), and I specifically waive the right to trial by jury. I certify that I am 18 years of age or older or my parent or legal guardian is competent to waive the above rights, and I understand that the rights being waived are substantial. I certify that all the information set forth above is true and complete.
3750 Harris Street
Eureka, CA 95501
|Kid Friendly: No|
|Dog Friendly: No|
|Wheelchair Accessible: No|