" Harrisburg Trap Shooting Team Participatory Agreement In consideration of me or my student athlete participation in the Harrisburg Trap Shooting Team program, I acknowledge that I understand the nature of the activity and that I, or my minor child, am qualified, in good health, and in proper physical condition to participate in such activity. I fully understand that shooting involves risk of serious bodily injury, including permanent disability, paralysis, and death, and that these and other risks may be caused by my own actions, or inaction, those of other participating in the event, the conditions in which the event takes place, or the negligence of the Releases named below, and that there may be other risks either not known to me or not foreseen at this time and I fully accept and assume all such risks and all responsibility for losses, costs and damages I incur as a result of my participation in the activity. I hereby release, discharge and covenant not to sue the Harrisburg Trap Shooting Team, their respective administrators, directors, agents, officers, coaches, volunteers and employees and any sponsors and advertisers of any Harrisburg Trap Shooting Team event in which I participate (each considered one of the Releases herein) from all liability, claims, demands, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releases. This release, waiver of liability and express assumption of risk agreement does not apply to any liability, claims, demands, losses or damages arising out of the gross negligence of or intentional, willful or wanton misconduct of Releases. If I or anyone on my and/or my minor child’s behalf makes a claim against any of the Releases, I will indemnify, defend, save and hold harmless each of the Releases from any loss, liability, damage or cost which may incur as a result of such claim. I acknowledge that I have read this release, waiver of liability and express assumption of risk agreement and fully understand it." Date: Athlete Name: —Please choose an option—Ahrendt, GreysonAlbers, TessaAnderson, BrooksBackman, JakeBeal, JettBender, JackBentz, LandonBentz, ZachBierman, JacksonBlake, ChaseBlitsch, StephenByl, BradyCampbell, HunterChristensen, CaleDancsisin, EliDaniels, LaytonDeLay, JackDornbusch, JaxDrexler, KyleEnstad, RykerFossell, EthanFurry, CalebHaber, JohnathonHaberman, CooperHaensel, WyattHaltenson, DylanHarris, AdriaHefty, LincolnHodge, CooperHoff, BradyHughes, GavinHunter, BlakeHunter, LaytonHyronimus, ColeJacobs, CadenJans, NathanJensen, ReidJohnsen, KhloeJohnson, AndrewJohnson, GarrettKemper, JudsonKindt, SuttonKooiman, CharisLarson, AidenLarson, BraylonLarson, KatelinLarson, MasonLarson, ZanderLeach, TateLucid, NolanLynde, TatenMcKenzie, BraydenNguyen, TungOlson, GarrettOlson, IsaacOstrem, PiercePatten, JesaPeters, ColePickart, NicholasPitz, IsaacRakness, BerganRerick, PrestonRichter, BraydenRojas, AlexisRojas, ArielRowe, MaxRowe, SidRunia, CarstenRuppert, CreedSchilling, TrystanSchiltz, TaylaSchoonover, AverySeneth, AydanShields, WilliamSmith, ElijahSmith, EthanSmith, KadenSonnenfeld, LiamStager, OliviaSteichen, IzakStengel, BrennenStrandell, CalebSylliaasen, TyTeSlaa, TrentonThomas, VeronicaVan Holland, WillVander Dussen, BenjaminVander Dussen, DanielleVander Pol, OakelyVanScharrel, ElijahVant Hul, SierraVant Hul, SophiaVeltkamp, GraysonWeber, KadenWeiler, AliahWeiner, PeytonWescott, AlainnaWheeler, LaneWitt, EmmaZahn, CalebZdenek, TreytonZwart, IsaacZwart, Natalie " Authorization If any part of this document shall be unenforceable, the portion, which is unenforceable, shall be served and the balance of this document shall remain in full force and effect. Without limiting the generality of the foregoing, if the Release on behalf of myself shall be deemed to be unenforceable, the aforesaid Indemnities shall nevertheless remain in full force and effect. I/we acknowledge the electronic signature confirms I/we have read and reviewed the information contained in the contents of the Participation Agreement. I/we also acknowledge this electronic signature has the same legal effect, validity, and enforceability as a signature in non-electronic form." Authorization Electronic Signature Enter your full name: Authorization Email:
