EVENT REGISTRATION

Event Registration Waiver And Release Of Liability Form

Step 1 of 2

Participant's Name*
First Middle Last
Participant's Gender*
Participant's Date Of Birth*
MM slash DD slash YYYY
Emergency Phone Number*
Name Of Event*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY

Event Host: SOUTHERN OUTDOORS UNLIMITED In consideration of my being permitted to participate in the Event and Activity/Sport referenced above (collectively, the “Activity”), wherever the Activity may occur, I hereby attest that, after reading this Form completely and carefully, I acknowledge that my participation in the Activity is entirely voluntary, and I further understand and agree as follows: ASSUMPTION OF RISKS: I hereby assume all of the risks of participating in all activities hosted or sponsored by Southern Outdoors Unlimited (“SOU”), including but not limited to, any risks that may arise from the negligence or carelessness of SOU, their subsidiaries, affiliates, directors, officers, employees, partners, contractors, agents, representatives, volunteers, successors and assigns (collectively, the “Host”) and/or from dangerous or defective equipment or property owned, maintained, operated or controlled by the Host. I understand that incidental to my participation in the Activity, I may be engaging in activities that involve the risk of serious personal injury, illness, permanent disability, dismemberment, and death, and that such participation may also involve the risk of severe economic and property loss and damage. I understand that these risks may result from the actions, negligence and failure to act of myself and others and from the condition of any property, facilities or equipment used. I also understand that there may be risks involved which are not known to me or to the Released Parties and may not be foreseen or reasonably foreseeable by any of us at this time or at the time of the Activity. Despite knowing these risks, I hereby elect to voluntarily participate in the Activity and agree to assume all related risks, including without limitation those enumerated above, and accept personal responsibility for any injury of any kind or nature that I or my property may suffer arising out of or in connection with my participation in the Activity. PHYSICAL CONDITION/MEDICAL AUTHORIZATION: I hereby certify that I am physically fit for participation in the Event/Activity, have the skill level required in conjunction with the Activity, and have not been advised otherwise. In consideration for permitting me to engage in or participate in the Activity, I agree for myself, my executors, administrators, heirs, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE the Host from any and all liability, including but not limited to, liability arising from the negligence of the Host, for my death, disability, personal injury, property damage, property theft, or any other damage or actions of any kind which may affect or impact me in any way arising from the Activity. (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the Host from any and all liabilities or claims made as a result of my participation in the Activity, whether caused by the negligence of the Host or otherwise. This Accident Waiver and Release of Liability Form (“Release Form”) shall be construed in accordance with the laws of Mississippi. This Release Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT; AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. PARENT / GUARDIAN WAIVER FOR MINORS (Under 18 years old) The undersigned parent or natural guardian does hereby represent that he/she is acting in such capacity, has consented to his/her child’s participation in activities sponsored and/or hosted by SOU and has agreed individually and on behalf of the child, to the terms of the Release Form set forth above.
Participant Name*
First Middle Last
Date*
MM slash DD slash YYYY
Parent Name*
First Middle Last
Date*
MM slash DD slash YYYY