AUTHORIZATION FOR MINOR TO PARTICIPATE IN LANWAR INC TO
BE HELD ON July 8, 9, 10, 11, & 12, 2009 RELEASE OF ALL LIABILITY AND A
We at LANWAR, INC. want to provide a safe
fun experience for all participants.
Individuals of all ages are welcome at this and other LANWAR, INC
events. However, if you are a minor
under the age of eighteen and you wish to participate in this event, both you
and your parent and/or legal guardian must sign this authorization, waiver,
release of all liability and agreement to indemnify and hold harmless before
you will be permitted to participate. We require that all participants wear
their name tags at all times. To help
insure the safety of everyone's equipment, we may record parts of the event
with video surveillance. We may take
these means to reduce the possibility that someone may leave with a Computer or
Monitor they did not arrive with.
We, __________________ (minor's name)
and___________________________(parent/legal guardian) (circle one) hereby
waive, release and forever discharge LANWAR, INC., its officers, directors, stock holders, employees, staff
and volunteers, from any and all liability for any personal injuries or
property damage that one or both of us
may sustain as a result of, or during, our participation in any LANWAR,
INC. events, including any personal
injuries or property damage that we
believe we may have sustained as
a result of the negligence, in whole or
in part, of LANWAR, INC. We further
agree to indemnify LANWAR, INC., its officers, directors, stock holders, employees, staff and volunteers from any and all claims of any nature
whatsoever, including, but not limited to, personal injury and property
damage, by any third party or third
parties, which they claim are caused, in
whole or in part, as a result of any
act(s) or conduct, whether unintentional, negligent, or intentional, by one or
both of us, which may occur immediately prior to, during, or immediately following any LANWAR, INC.
events.
We
understand that LANWAR, INC. maintains a strict no smoking, no alcohol and no
drug policy and we agree not to bring with us to any LANWAR, INC. event or
distribute at any LANWAR, INC. event any
smoking materials, alcoholic beverages or any illegal drugs. LANWAR, INC. hopes that you will see these
precautions as a benefit rather than an inconvenience. We also understand and acknowledge that no
surge protection is provided by LANWAR, INC. at this event. We have been urged by LANWAR, INC. to provide suitable electrical surge
protection for all equipment utilized by us at this session. By affixing our signatures hereto, we agree
to assume the risk that our computer, monitor, software or other equipment may
be damaged or destroyed by power surges or other types of electrical
activity.
We understand that our machine(s) are our
personal responsibility and liability and agree to indemnify and hold harmless
LANWAR, INC. its officers, board of directors, employees, representatives,
volunteers and staff from any claims arising out of, in whole or in part, our
use in any way of our computers, monitor, or other computer related equipment during any LANWAR,
INC. session.
LANWAR, INC. does not, under any set of circumstances,
condone any type of illegal activity whatsoever, including but not limited to
the copying of illegal software, MP3's or distribution of pornographic material to minors. By executing this waiver, release, agreement
to indemnify and hold harmless, we acknowledge that we understand and agree to
accept each of the statements, waivers, releases and agreements contained in
this document and by our affixing our signature hereto affirm that we will
abide by these policies.
______________________ ____________________________________________________________
DATE SIGNED MINOR
PARTICIPANT SIGNATURE
____________________________________________________________
MINORS
OR PARENTS DRIVERS LICENSE OR SOCIAL SECURITY NO.
____________________________________________________________
MINOR'S LEGAL GUARDIAN/PARENT (Circle One)
______________________
________________________________________________________
PHONE Will
Be Acting In Charge While At the Event (phone number)