Waiver and Release

I, the Participant, or the parent or legal guardian of the minor Participant identified above, affirm that (i) I have carefully read and fully understand the General Release and all of its terms and provisions as set forth. I, the Participant, or the parent or legal guardian of the minor Participant in the Dominator Shootout Challenge, hereby give my approval for his/her participation in the event. I understand and agree to the following terms and conditions: I assume all risks and hazards incidental to participation in the Dominator Shootout Challenge, including transportation to and from the event. I hereby waive, release, absolve, indemnify, and agree to hold harmless Hasek's Heroes, its organizers, supervisors, sponsors, participants, and persons transporting my child to and from the event, for any claim arising out of an accident or injury to my child, except to the extent and in the event covered by accident and/or liability insurance held by Hasek's Heroes. I give my permission for the participant to be photographed, videotaped, or interviewed by any television, radio, newspaper, magazine, private person or group, and that the gathered material may be transmitted by electronic media or otherwise used in Hasek's Heroes published materials or in other ways for the enhancement of the program. I have read this acknowledgement and do hereby demonstrate my understanding and agreement to abide by these guidelines by checking the box. Furthermore, I affirm that all the information provided on this form is true. I understand that if I knowingly give false statements, such action could be grounds for denial or dismissal from the Hasek's Heroes Dominator’s Breakaway Challenge. *
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