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ATHLETE WAIVER/RELEASE FORM (“AGREEMENT”)
In consideration of being permitted to participate in any way in any Sapolu Youth Foundation, Sapolu Men in the Trenches Linemen
Camp or Super Linemen activity (“Activity”) I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree and represent that I understand the nature of the Activity and that I am qualified, in good health, and in
proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be
unsafe, I will immediately discontinue further participation in the Activity.
2. I FULLY UNDERSTAND that: (a) ATHLETIC ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS INJURY, INCLUDING
PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by my own actions
or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE
NEGLIGENCE OF THE ‘RELEASES’ NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSES
either not known to me or not readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL
RESPONSIBILITY FOR LOSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.
3. I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Sapolu Youth Foundation, Sapolu Men in the Trenches
Linemen Camp, or Super Linemen, related affiliated and subsidiary companies of each, as well as the officers, directors, agents,
employees and assigns of each, clubs, coaches, officials, administrator, members, volunteers, participants, sponsors, advertisers,
and if applicable owners and lessors of premises on which the Activity takes place, and any other party indemnified and held
harmless by the Sapolu Youth Foundation, Sapolu Men in the Trenches Linemen Camp or Super Linemen (each considered one of
the ‘RELEASES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR
ALLEGED TO BE CAUSED IN WHOLE OR IN PARTY BY THE NEGLIGENCE OF THE “RELEASES” OR OTHERWISE,
INCLUDING NEGLIGENT RESCUE OPERATIONS, NEGLIGENT SECURITY, TRAVEL, AND RECREATIONAL OPERATIONS
AND ACTIVITIES; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK,
AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Release’s, I WILL INDEMNIFY,
SAVE, AND HOLD HARMLESS BEACH OF THE RELEASES from any litigation expenses, attorney fees, loss, liability, damage, or
cost which may incur as the result of such claim.
AGREEMENT TO PARTICIPATE
I, or we, grant to the Directors, Assistants, or assigned chaperons of this event to act as guardians/spokesman in granting permission
for emergency treatment/hospitalization (including anesthesia) if necessary for my child en route to or from or at the site of Sapolu
Youth Foundation, Sapolu Men in the Trenches Linemen Camp or Super Linemen event or hospital or other medical facility. I
understand that should a health emergency arise, I will be attempted to be notified, but that if I cannot be reached by telephone, such
medical treatment as deemed necessary, by competent medical personnel is authorized.
I hereby authorize the Sapolu Youth Foundation, Sapolu Men in the Trenches Linemen Camp or Super Linemen to allow the
reproduction, dissemination and/or publication of my name and likeness for media coverage, public relations, or any other purpose
which may involve the use of photographs, films, and/or video tape recording. This is to be done in conjunctions with my participating
in this Sapolu Youth Foundation, Sapolu Men in the Trenches Linemen Camp or Super Linemen event and I understand and agree
that I may neither pay a fee to receive individual promotional consideration from my participation in this event, nor will I receive any
payment for the possible commercial use of my name or likeness.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE
AND INTEND IT TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED
BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE,
NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
Colton Eggleston 949-510-4405

PRINTED NAME OF PARTICIPANT___________________________________PHONE:________________________
PARTICIPANT’S SIGNATURE (only if age 18 or over):____________________________________________________
CLUB/TEAM NAME (if necessary): ___________________________________________________________________
MINOR RELEASE: AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF ATHLETIC
ACTIVITIES AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD
HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE,
COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASES FROM
ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED OR ALLEGED TO BE
CAUSED IN WHOLE OR IN PARTY BY THE NEGLIGENCE OF THE “RELEASES” OR OTHERWISE, INCLUDING NEGLIGENT
RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DISPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE
MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD
HARMLESS EACH OF THE RELEASES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR
COST ANY MAY INCUR AS THE RESULTS OF ANY SUCH CLAIM.
Toney Eggleston & Tamara Miguez

PRINTED NAME OR PARENT/GURADIAN: _____________________________________________________________________
403 Feliz, Newport Beach, Ca. 92660

ADDRESS: _______________________________________________________________________________________________
(Street) (City) (State) (Zip)
702-613-1196
Phone: __________________________________________________ DATE: __________________________________________
PARENT/GUARDIAN SIGNATURE (only if participant is under the age of 18):___________________________________________

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ATHLETE WAIVER/RELEASE FORM (“AGREEMENT”)

Colton Eggleston 949-510-4405

PARTICIPANT’S SIGNATURE (only if age 18 or over):____________________________________________________

CLUB/TEAM NAME (if necessary): ___________________________________________________________________

Toney Eggleston & Tamara Miguez

403 Feliz, Newport Beach, Ca. 92660

PARENT/GUARDIAN SIGNATURE (only if participant is under the age of 18):___________________________________________

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