Please fill in your name (participant):*

    Please fill in your email:*

    Date of Birth:*

    Please fill in Parent/Guardian Name if participant is under 18:

    What program are you participaing in?:*

    IN CONSIDERATION of allowing myself or my minor child/ward to participate in the programme, related events and activities of the Limelight Allstars, INC.I WARRANT TO YOU THAT: I am an adult participant or parent/guardian having full legal responsibility for decisions regarding my minor child/ward, and I am familiar with the risk of serious injury and death which any participant in this programme must assume, and I believe that myself or my minor child/ward is physically, emotionally and mentally able to participate in this programme, and that his/her equipment is mechanically fit for his/ her use in this programme, and I understand, and will instruct myself or my minor child/ward, that all applicable rules for participation must be followed and that at all times the sole responsibility for personal safety remains with myself or my minor child/ward, and I will immediately remove myself or my minor child/ward from participation, and notify the nearest official, if at any time I sense or observe any unusual hazard or unsafe condition or if I feel that myself or my minor child/ward has experienced any deterioration in his/her physical, emotional or mental fitness for continued participation in the programme. I UNDERSTAND AND AGREE, ON BEHALF OF MYSELF OR MY MINOR CHILD/WARD, MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES: 1. an unqualified ASSUMPTION OF ALL RISKS associated with participation in this programme by myself or my minor child/ward even if arising from negligence, or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures, of the programme organizer and any persons associated therewith or participating therein, and
    2. a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the programme organizer and all persons and organizations associated with it and the programme including, without limiting the generality of the foregoing, its officers, directors, officials, agents and/or employees, other participants, sponsors, advertisers, owners and/ or lessors of the premises used to conduct the programme, sanctioning bodies, medical or rescue personnel (the RELEASEES), of and from with the respect to all injury, disability, death or loss or damage to person or property whether arising from the negligence, or negligent rescue of or by the foregoing or otherwise, and 3. an UNDERSTANDING NOT TO SUE the RELEASEES for any loss, injury, costs or damages of any form or type, whosoever caused or arising, and whether directly or indirectly from the participation of myself or my minor child/ward in the programme, and 4. an AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASEES, and each of them, from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any claim made against them or any one of them whether the claim is based on the negligence or the gross negligence of the RELEASEES or otherwise. Media Clause: Permission is granted to use myself or my daughter’s/son’s picture or image in any or all future Limelight Allstars advertisements, broadcasting, website, and marketing literature or promotional videos for Limelight Allstars and/or events sponsored and conducted by them. I HAVE READ THIS DOCUMENT THOROUGHLY. I UNDERSTAND THAT THE RELEASEES ARE RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER AND RELEASE, UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MYSELF OR MY MINOR CHILD’S/WARD’S PARTICIPATION IN THIS PROGRAMME. I UNDERSTAND THAT BY SIGNING THIS DOCUMENT I GIVE UP SUBSTANTIAL LEGAL RIGHTS I AND/ OR MY MINOR CHILD/WARD WOULD OTHERWISE HAVE.

    Your signature, adult participant or Parent/Guardian of minor participant:*


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