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Brown, Dale. Executive intent. SUSPENSE
When the United States develops a new, state-of-the-art missile defense weapon, it threatens global stability and pits the world’s superpowers in a contest for dominance in the space around Earth’s orbit.
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    NOTICE OF RISK AND MEDIA AGREEMENT

Date: August 17, 2010   

Event/Course: Guard Up/Medieval Knight Training 

Participant Name: ___________________________

Date of Birth: _____________    

Address: __________________________

City: _________________________

State: _____      Zip Code: _________     

Phone #: _____________________          

Do you have any physical limitations that we should know about?       

Yes €         No €

If yes, please list details here:

_____________________________________________________________________

Emergency Contact: ________________________­­­­__       

Relation: ________________      Phone #: ________________

This waiver is required by our insurance company. However, you should know that Guard Up staff is trained extensively in running safe, entertaining, and educational classes and events. Our safety record is exceptional. Our staff works hard to keep participants safe and the swordplay at an acceptable level, but we acknowledge that accidents happen (someone may get hit in the head with a foam sword, trips and falls are common, collisions can happen from excited kids who aren’t looking where they are going, etc.). We ask that you work with us to help embrace the Guard Up environment and activities with the understanding that participants who are active are at a higher risk of injury than those who are not.

Behavioral Issues

Does the above named have any behavioral issues?          Yes €                    No €

If yes, you/the legal guardian must contact us immediately and discuss these behavioral issues. Failure to do so prior to the event may result in the above named not being allowed to participate in the event.

Please read the following before signing below.

I understand that the above named will be held to a standard of conduct during this event. Failure to abide by safety rules will result in a warning or expulsion from the event without refund. I also understand that these events may include special effects and costuming that is considered frightening to some children. I also understand that the above named may learn, use, and be hit by a foam weapon of some sort by other participants and/or staff during this event. I understand/have helped the above named to understand that I/they may decline to participate in any part of the event. I also understand that refusal to participate does not constitute grounds for refund of fee. I give Guard Up, Inc. permission and consent for photos/videos to be taken of the above named during activities, and for these to be used for promotions in brochures, press releases, and other media.

By signing up the above named for this event, I acknowledge and understand that the participant will be voluntarily engaging in activities that may involve contact and the risk of serious injury, permanent disability, or death, and may cause severe social or economic losses due to not only the participant’s actions, inactions, or negligence, but also to the action, inactions, or negligence of others or conditions of the premises or of any equipment used. Further, I agree that I will not, nor will anyone acting on my behalf claiming by or through me, bring or maintain any suit in Court to assert any claim against Guard Up, Inc. and/or any instructors/assistant instructors/staff for any claim that I might have arising out of the above named participation in any activities performed by, directed by, or endorsed by Guard Up, Inc. or the instructors/assistant instructors. I agree to pay for any and all expenses (including but not limited to any medical expenses) that might relate to the participant’s care and treatment.

Date: __________         

Participant’s Name: _____________________________________________________

(If 18 or over)  Participant’s Signature: __________________________________________________________

(If under age 18)  Parent/Legal Guardian’s Name: _________________________________________________          

(If under age 18)  Parent/Legal Guardian’s Signature: ______________________________________________