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Overview
Denver Nuggets
Colorado Mammoth

Colorado Mammoth AbilityCAMP

Date: February 16, 2008
Time: 10:00am - 12:00 Noon
Location: Pepsi Center
1000 Chopper Circle
Denver, CO 80204

Park in Lot A and enter the Grand Atrium

Camp Schedule:
9:30 - 10:00 Registration & Check In
10:00 - 11:30 Skills Clinic
11:30 - 12:00 Noon Snacks & Giveaways


This free interactive camp allows kids with disabilities, either physical or developmental, ages 6-18 to experience first hand the sport of lacrosse. This fun-filled day will include instruction and skill development, use of equipment, games, prizes and ends with a snack. Appearances could include players coaches and the mascot, Wooly.

AbilityCAMP:
Participant First Name:
Participant Last Name:
Parent/Guardian Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Age:
Date of Birth:
Sex: Male
Female
Disabilities:
Seizures:

Yes
No

Medications:
Wheelchair:

Manual
Power

Sign Language Interpreter? Yes
No
Emergency Contact:
Emergency Contact Phone:
 

Arapahoe Sporst Center Voluntary
Release-Waiver-Assumption of Risk & Full Indemnity Agreement

The undersigned participant hereinafter referred to as the "undersigned" requests and is granted the revocable permission to enter upon the premises of Nine Line Inc., dba Arapahoe Indoor Soccer, hereinafter referred to as "Owner", to participate as a player or a coach in said soccer games and/ or matches, and/or camps, and/or practices, and/or scrimmages, and/or other activities that may be conducted within the Owner's premises. Said entry shall hereinafter be referred to as "revocable permissive entry".

In consideration of the "revocable permissive entry", onto the premises of Owner, the undersigned of himself/herself, all personal representatives executors, executrixes, heirs next of kin, spouse, and assigns do hereby agree as follows:

1. The undersigned do hereby FULLY RELEASE, FULLY WAIVE, FULLY DISCHARGE, AND COVENANT NOT TO SUE, the operators or Owner, its officers, directors, shareholders, employees, agents, managers, attorneys, subsidiaries, independent contractors, successor or assigns, (hereinafter collectively referred to as "releasees") and each of them, from any and all claims, and/or the ordinary negligence of released, and/or the strict liability, and/or the negligence of any third party or participant, which causes the undersigned injury, death, personal injury, bodily injury, property damages, or any other type or kind of injury, and/or loss, and/or damages. The undersigned hereby convenants to hold "releasees" harmless from and to fully indemnify "releasees" for any type or kind of damages, judgements, awards, or related expenses (including but not limited to releasees' attorney fees and court costs) that "releasees" may incur as a result of the participation of the undersigned in any activity, and/or game, and/or match, and/or practices, and/or camps, and/or scrimmages, and/or leagues, conducted within Owners premises at any time.

2. The undersigned verifies that he/she is physically fit and sufficiently trained to play and compete in Owner's leagues, camps, practices, games, scrimmages, matches and other activities and that the undersigned's physical condition for participation in Owner's leagues, camps practices, games, scrimmages, matches, and other activities has been verified by a licensed medical doctor during the last six months. The undersigned verifies that he/she has and shall maintain sufficient medical insurance to cover any and all medical, expenses that may arise from the undersigned's participation in the Owner's leagues, or other activities and undersigned does not, and shall not rely upon or look towards Owner and/ or the " releasees".

3. The undersigned ACKNOWLEDGES that there is INHERENT DANGER in the participation in any and all soccer activities including but no limited to games, matches, practices, camps, scrimmages, and other activities, which the undersigned appreciates and voluntarily assumes. The undersigned has inspected the Owner's premises and THE UNDERSIGNED VOLUNTARILY ELECTS TO ACCEPT ALL RISKS CONNECTED WITH HIS/HER PARTICIPATION IN ALL SOCCER ACTIVITIES, AS DESCRIBED ABOVE. THE UNDERSIGNED HAS READ THIS DOCUMENT CAREFULLY AND FULLY UNDERSTANDS EACH AND ALL OF ITS TERMS. THE UNDERSIGNED UNDERSTANDS THAT IT IS A RELEASE OF ALL CLAIMS. THE UNDERSIGNED UNDERSTANDS THAT HE/SHE ASSUMES ALL RISKS INHERENT IN ALL SOCCER PARTICIPATION. THE UNDERSIGNED VOUNTARILY SIGNS HIS/HER NAME EVIDENCING HIS/HER ACCEPTANCE OF THE ABOVE PROVISIONS.

4. If a provision of this agreement is held to be illegal or invalid by a court of competent jurisdiction, such provisions shall be considered severed and deleted. Such severance and deletion shall not effect the validity of the remaining provisions of this agreement, which shall remain in full force and effect.

5. This Voluntary Release-Waiver-Assumption of Risk and Full Indemnity Agreement shall be in full force effect at all times during undersigned's participation in the soccer activities, of any kind or nature, and for whatever period of the time the undersigned participates in said activities, either continuously or from time to time, as the case may be.

6. Should any dispute arise pertaining to the terms of this agreement, or should any action be filed or commenced to enforce the terms of this agreement, the prevailing party shall be entitled to recover it's reasonable attorney fees and costs, whether or not such dispute proceeds to judgment.

Agree: Yes
No
Waiver of Liability

In consideration of my child (participant) being permitted to participate in the lacrosse AbilityCAMP offered by the National Sports Center for the Disabled, the Colorado Mammoth and Kroenke Sports Enterprises, on behalf of my child, myself, and anyone who obtains rights from my child or me, I hereby voluntarily waive, fully release and discharge any of the above mentioned agencies and entities, their directors, officers, employees, agents, insurers, various sponsors and paid and non-paid volunteers from liability for injury, illness, death, damage or loss to participant or participant's property arising out of or in any way related to Participant's activities at the Mammoth Lacrosse AbilityCAMP.

I understand that the staff/volunteers of this camp are not allowed to administer medication or provide personal care such as feeding, toileting, and/or dressing. Anyone needing this type of assistance must make their own arrangements. I have read this form and understand its content and request registration for my child.

Agree: Yes
No
I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree: Yes
No
Participant Name:
Parent/Guardian Signature:
Date:
Sign here: __________________________
Please print this page out and bring it to the camp with you.


P.O. Box 1290, Winter Park, Colorado 80482 USA ph: 970.726.1540 or 303.316.1540 fx: 970.726.4112
Denver Office: 1801 Bryant St, Ste 1500, Denver, CO 80204 ph: 303.293.5711 fx: 303.293.5448 Email:
info@nscd.org

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