NIS-01/2019 www.nisnowdrifter.com Rev: 6/4/2022
WAIVER AND RELEASE OF LIABILITY READ BEFORE SIGNING: In consideration of being allowed to participate in any way
in the North Island Snowdrifters’ programs, related events and activities, I (______________________), the
Undersigned, acknowledge, appreciate, & agree that: 1. The risk of injury from the many of the activities is significant,
including the potential for permanent paralysis & death, & while particular skills, rules, equipment, & personal discipline
may reduce this risk, the risk of serious injury does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS,
both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others & assume full
responsibility for my participation; and, 3. I willingly agree to comply with the stated & customary terms & conditions for
participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove
myself from participation & bring such to the attention of the nearest official immediately; and, 4. I, for myself & on
behalf of my heirs, assigns, personal representatives & next of kin, HEREBY RELEASE AND HOLD HARMLESS the North
Island Snowdrifters, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors,
advertisers, &, if applicable, owners and lessors of premises used to conduct the event ("RELEASEES”), WITH RESPECT
TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING
FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS
RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I
HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, & SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY
INDUCEMENT.
Participant Signature _________________________________________ Date: _________________
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as
parent/guardian with legal responsibility for this participant, do consent & agree to his/her release as provided above of
all the Releases, &, for myself, my heirs, assigns, & next of kin, I release & agree to indemnify and hold harmless the
RELEASEES from any and all liabilities incident to my minor child's involvement or participation in these programs as
provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. I
also consent to allow medical treatment in the event of an emergency.
(Parent/Guardian) _________________________________________ Date _________________
**Make checks payable to NIS & mail to: MJ Lau, 2396 Harcourt Drive, San Diego CA 92123
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