AUTHORIZATION FOR MINOR TO PARTICIPATE IN LANWAR INC TO
BE HELD ON OCTOBER 6, & 7, 2007 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)