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8LLLASL lC8M
lC8 MlnC8S

Any and All LvenL(s): 3 AnCLLS MLSSLnCL8S MC1C8C?CLL ASSCClA1lCn

uaLe: ________________________________________________________

ln conslderaLlon of my mlnor chlld (herelnafLer, Lhe "Mlnor('s)") belng permlLLed Lo parLlclpaLe
ln a 8lde", 8ally", lleld MeeL", or AcLlvlLy" (herelnafLer, LvenL(s)") sponsored and /or
conducLed by Lhe 3 AnCLLS MLSSLnCL8S MC1C8C?CLL ASSCClA1lCn and Lhelr respecLlve
dlrecLors, offlcers, agenLs (herelnafLer, Lhe 8eleased arlLles") l agree as follows:

1. l know Lhe naLure of Lhe LvenL(s) and Lhe Mlnor's experlence and capablllLles, and
belleve Lhe Mlnor Lo be quallfled Lo parLlclpaLe, ln Lhe LvenL(s) or enLer lnLo resLrlcLed
areas where Lhe LvenL(s) are conducLed. lf l or Lhe Mlnor belleve anyLhlng ls unsafe, l
wlll lnsLrucL Lhe Mlnor Lo lmmedlaLely cease or refuse Lo parLlclpaLe furLher ln Lhe
LvenL(s) and/or leave Lhe resLrlcLed area.

2. l fully undersLand and wlll lnsLrucL Lhe Mlnor LhaL: (a) Lhe acLlvlLles of Lhe LvenL(s) may
be uAnCL8CuS and parLlclpaLlon ln Lhe LvenL(s) and/or enLry ln 8esLrlcLed Areas may
lnvolve 8lSkS Anu uAnCL8S Cl SL8lCuS 8CulL? ln!u8?, lnCLuulnC L8MAnLn1
ulSA8lLl1?, A8AL?SlS Anu uLA1P (8lsks"), (b) Lhese 8lsks and uangers may be caused
by Lhe Mlnor's own acLlons or lnacLlons, Lhe acLlons or lnacLlons of oLhers parLlclpaLlon
ln Lhe LvenL(s), Lhe rules of Lhe LvenL(s), Lhe condlLlon and layouL of Lhe premlses and
equlpmenL, or 1PL nLCLlCLnCL Cl 1PL 8LLLASLu A81lLS ln performlng Lhelr duLles,
(c) Lhere may be C1PL8 8lSkS nC1 knCWn 1C ML or LhaL are noL readlly foreseeable aL
Lhls Llme, (d) 1PL SCClAL Anu LCCnCMlC LCSSLS and/or damages LhaL could resulL
from Lhls/Lhese rlsk(s) CCuLu 8L SLvL8L Anu CCuLu L8MAnLn1L? CPAnCL 1PL
MlnC8'S lu1u8L.

3. l consenL Lo Lhe Mlnor's parLlclpaLlon ln Lhe LvenL(s) and/or enLry lnLo resLrlcLed areas
and PL8L8? ACCL1Anu ASSuML ALL SuCP 8lSkS, knCWn Anu unknCWn, Anu
ASSuML ALL 8LSCnSl8lLl1? lC8 1PL LCSSLS, CCS1S Anu/C8 uAMACLS lCLLCWlnC
SuCP ln!u8?, ulSA8lLl1?, A8AL?SlS C8 uLA1P, LvLn ll CAuSLu ln WPCLL C8 ln
A81, 8? 1PL nLCLlCLnCL Cl 1PL 8LLLASLu A81lLS ln L8lC8MlnC 1PLl8 uu1lLS.

4. l PL8L8? 8LLLASL, ulSCPA8CL Anu CCvLnAn1 nC1 1C SuL Lhe 8eleased arLles,
Sponsor(s), AdverLlser(s), Cwner(s ) and Lessor(s) of Lhe premlses used Lo conducL Lhe
LvenL(s) l8CM ALL LlA8lLl1? 1C ML, 1PL MlnC8, my and Lhe mlnor's personal
represenLaLlves, asslgns, helrs, and nexL of kln lC8 An? Anu ALL CLAlMS, uLMAnuS,
LCSSLS, C8 uAMACLS Cn ACCCun1 Cl An? ln!u8?, lncludlng buL noL llmlLed Lo, deaLh
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or damage Lo properLy, CAuSLu C8 ALLLCLu 1C 8L CAuSLu ln WPCLL C8 ln A81 8?
1PL nLCLlCLnCL Cl 1PL 8LLLASLu A81lLS ln performlng Lhelr duLles.

3. lf, desplLe, Lhls release, l, Lhe Mlnor, or anyone of Lhe Mlnor's behalf makes a clalm
agalnsL any of Lhe 8eleased arLles named above, l AC8LL 1C LnuLMnll? Anu SAvL
Anu PCLu PA8MLLSS 1PL 8LLLASLu A81lLS and each of Lhem from An? Ll1lCA1lCn
LxLnSLS, A11C8nL?'S lLLS, LCSS, LlA8lLl1?, uAMACL, C8 CCS1 1PL? MA? lnCu8 uuL
1C 1PL CLAlM MAuL ACAlnS1 An? Cl 1PL 8LLLASLu A81lLS nAMLu A8CvL,
ASSL81lnC nLCLlCLnCL Cn 1PL A81 Cl 1PL 8LLLASLu A81lLS ln L8lC8MlnC
1PLl8 uu1lLS.

6. l slgn Lhls agreemenL on my own behalf and on behalf of Lhe Mlnor.

l PAvL 8LAu 1PlS A8Ln1AL CCnSLn1, 8LLLASL Anu WAlvL8 Cl LlA8lLl1?, ASSuM1lCn Cl
8lSk, Anu lnuLMnl1? AC8LLMLn1, unuL8S1Anu 1PA1 8? SlCnlnC l1 l ClvL u Su8S1An1lAL
8lCP1S l Anu/C8 1PL MlnC8 WCuLu C1PL8WlSL PAvL 1C 8LCCvL8 uAMACLS lC8 LCSSLS
CCCASlCnLu 8? 1PL 8LLLASLu A81lLS' lAuL1, Anu SlCn l1 vCLun1lA8lL? Anu Wl1PCu1
lnuuCLMLn1.


1PlS lS A 8LLLASL lC8M - LLASL 8LAu Anu unuL8S1Anu luLL? 8LlC8L SlCnlnC




Mlnor's name
(lease prlnL flrsL, mlddle, lasL name)________________________________________________


SlgnaLure of arenL or Cuardlan____________________________________________________

rlnLed name of arenL or Cuardlan________________________________________________

uaLe of slgnaLure________________________________________________________________

lace of slgnaLure (sLreeL, clLy, counLy, sLaLe)

______________________________________________________________________________

______________________________________________________________________________