Freedom Fitness Basketball League for Charity
Registration/Waiver
"The names not sexy but neither is cancer."
_________________________________________________________________________________________________ Name Date of Birth*
* All participants must be over the age of 18.
__________________________________________________________________________________________________
Mailing Address Team Captains Name
_______________________________________________________________________________________ Phone Shirt Size Email
I know that playing basketball is a potentially hazardous activity. I should not enter and play unless I am medically able and properly trained. I agree to abide by any decision of a league official relative to my ability to safely play. I fully understand that recreational and fitness activities have inherent risks, dangers and hazards and such exists in my use of any equipment. My participation in these activities demonstrate acknowledgement and shows that I assume all risks being known, appreciated by me and associated with this event including, but not limited to, falls, contact with other participants, my personal health, safety, well-being, bodily injury, disease, strains, fractures, partial and/or total paralysis, death or other ailments that could cause serious disability. These risks and dangers may be caused by the negligence of the representatives, employees, or volunteers of Freedom Gym LLC or Caldwell Exempted Village School, the negligence of the participants, the negligence of others, accidents, breaches of contract, or other causes. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself, my executors, administrators, assignees and anyone entitled to act on my behalf, waive and release Freedom Gym LLC, Caldwell Exempted Village School, , Noble County Health Department, Noble County, any and all sponsors, their representatives and successors and all those connected with said athletic event from all claims, damages, actions or losses for bodily injury, property damage, wrongful death, loss of services or liabilities whatsoever of any kind arising out of my participation in this event. I further authorize medical treatment for myself, at my cost, if the need arises. I also hereby give my permission to the media and Freedom Gym LLC to use my name and/or picture in any newspaper, broadcast, telecast, or any other account of this event without limitation and obligation of anyone to compensate me further. This is a basketball league conducted under the rules of Ohio Men's Basketball Rules.
______________ (Initial) I specifically understand that I am releasing, discharging, and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the representatives, employees and volunteers of Freedom Gym, LLC or Caldwell Exempted Village School.
I attest that I have read the event registration/waiver form and accept the risks being involved in this event.
__________________________________________________________________________________________________ Signature of Participant Date
Team Registration $225
Make Checks payable to: Freedom Gym, LLC
10 East Street, Suite B Caldwell, Ohio 43724 (740) 509-0085
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The Frozen Toes Softball Tourney
Registration/Waiver
... Honoring Josie Hooks ... Freezing Our Bats Off ... Raising Money for the March of Dimes
________________________________________________________________________________________________________
Name Date of Birth*
* All participants must be over the age of 18.
________________________________________________________________________________________________
Mailing Address Team Captains Name
(_____)_____-_______________________________________________________________________
Phone Shirt Size Email
I know that playing softball is a potentially hazardous activity. I should not enter and play unless I am medically able and properly trained. I agree to abide by any decision of a league official relative to my ability to safely play. I fully understand that recreational and fitness activities have inherent risks, dangers and hazards and such exists in my use of any equipment. My participation in these activities demonstrate acknowledgement and shows that I assume all risks being known, appreciated by me and associated with this event including, but not limited to, falls, contact with other participants, my personal health, safety, well-being, bodily injury, disease, strains, fractures, partial and/or total paralysis, death or other ailments that could cause serious disability. These risks and dangers may be caused by the negligence of the representatives, employees, or volunteers of Freedom Gym LLC the negligence of the participants, the negligence of others, accidents, breaches of contract, or other causes. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself, my executors, administrators, assignees and anyone entitled to act on my behalf, waive and release Freedom Gym LLC, Noble County Recreation, Noble County Fairboard, Noble County, any and all sponsors, their representatives and successors and all those connected with said athletic event from all claims, damages, actions or losses for bodily injury, property damage, wrongful death, loss of services or liabilities whatsoever of any kind arising out of my participation in this event. I further authorize medical treatment for myself, at my cost, if the need arises. I also hereby give my permission to the media and Freedom Gym LLC to use my name and/or picture in any newspaper, broadcast, telecast, or any other account of this event without limitation and obligation of anyone to compensate me further. This is a basketball league conducted under the rules of Ohio Men's Basketball Rules.
______________ (Initial of Parent/Legal Guardian and/or Participant) I specifically understand that I am releasing, discharging, and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the representatives, employees and volunteers of Freedom Gym, LLC or Caldwell Exempted Village School.
I attest that I have read the event registration/waiver form and accept the risks being involved in this event.
__________________________________________________________________________________________________ Signature of Parent/Legal Guardian and/or Participant Date
Registration: Non-Refundable $20 per player
Make Checks payable to:
Freedom Gym, LLC
10 East Street, Suite B Caldwell, Ohio 43724
(740) 509-0085
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PAST EVENTS
Hair Raiser 5K Event Registration/Waiver
____________________________________________________________________________________ Name Age*
* A parent or legal guardian will have to sign for those participants who are under the age of 18.
____________________________________________________________________________________ Mailing Address
_________________________________________________________________________ Phone Email
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with this event including, but not limited to, my personal health, safety, well-being, falls, contact with other participants, the effects of weather, including cold and/or wind, traffic and the conditions of the road, all such risks being known and appreciated by me. I further authorize medical treatment for myself or my child, at my cost, if the need arises. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself, my executors, administrators, assignees and anyone entitled to act on my behalf, waive and release Freedom Gym LLC, Freedom Running Club of Caldwell, the City of Caldwell, Noble County, any and all sponsors, their representatives and successors and all those connected with said athletic event from all claims, damages, demands, actions or liabilities whatsoever of any kind arising out of my participation in this event. I also hereby give my permission to the media and Freedom Gym LLC to use my name and/or picture in any newspaper, broadcast, telecast, or any other account of this event without limitation and obligation of anyone to compensate me further. This is a road race conducted under the rules of USATF.
I attest that I have read the event registration/waiver form and accept the risks being involved in this event.
__________________________________________________________________________________________________
Signature of parent/legal guardian and/or participant
Pre-Registration $15 Day-of-Registration $20
Make Checks payable to: Freedom Gym, LLC 10 East Street, Suite B Caldwell, Ohio 43724 (740) 509-0085
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Mud Volleyball Event Registration/Waiver
__________________________________________________________________________________________________ Name Age*
* A parent or legal guardian will have to sign for those participants who are under the age of 18.
____________________________________________________________________________________
Mailing Address
_________________________________________________________________________ Phone Email
I know that playing volleyball is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a tournament official relative to my ability to safely complete the tournament. I assume all risks associated with this event including, but not limited to, my personal health, safety, well-being, falls, contact with other participants, the effects of weather, including cold and/or wind, mud and the conditions of the court, all such risks being known and appreciated by me. I further authorize medical treatment for myself or my child, at my cost, if the need arises. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself, my executors, administrators, assignees and anyone entitled to act on my behalf, waive and release Freedom Gym, LLC, The American Cancer Society, the Noble County Fairboard, Noble County, any and all sponsors, their representatives and successors and all those connected with said athletic event from all claims, damages, demands, actions or liabilities whatsoever of any kind arising out of my participation in this event. I also hereby give my permission to the media and Freedom Gym, LLC to use my name and/or picture in any newspaper, broadcast, telecast, or any other account of this event without limitation and obligation of anyone to compensate me further.
I attest that I have read the event registration/waiver form and accept the risks being involved in this event.
________________________________________________________________________________________________ '
Signature of parent/legal guardian and/or participant
Pre-Registration (per person) $15 Day-of-Registration (per person) $20
Make Checks payable to:
Freedom Gym, LLC
10 East Street, Suite B Caldwell, Ohio 43724 (740) 509-0085