Consent to Participate/Liability WaiverPlease enable JavaScript in your browser to complete this form.Name of participant *FirstLastAre you completing this form for more than 1 participant? *YesNoName of 2nd participant *FirstLastName of 3rd participantFirstLastName of 4th participantFirstLastAre you completing this form for yourself or for a minor? *MyselfMinorParent/guardian Name *FirstLastParent/guardian cell phone number *Parent/Guardian Address *First and Last nameCell phone number *Address *Emergency Contact *FirstLastNot yourselfEmergency Contact cell phone number *Agreement to participate/Release of liabilityDisclaimer: Lovell Recreation District, Community Education, and BOCES is not responsible for any injury (or loss of property) to any person suffered while participating in a Lovell Recreation District, Community Education, and BOCES program or activity for any reason whatsoever, including ordinary negligence on the part of Lovell Recreation District, Community Education, and BOCES, facility providers, its agents, employees, or volunteers. In consideration of my participation, or the participation of the individual whom I am registering for, I hereby release and covenant not-to-sue Lovell Recreation District, Community Education, and BOCES, City of Lovell, Big Horn County School District No. 2, and any of their employees, instructors, agents, or volunteers, from any and all present and future claims resulting from ordinary negligence on the part of Lovell Recreation District, Community Education, and BOCES or others listed for property damage, personal injury, or wrongful death, arising as a result of my engaging in or receiving instruction in any Lovell Recreation District, Community Education, and BOCES activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my family, estate, heirs, or assigns. Further, I am aware that many recreation programs offered by the Lovell Recreation District, Community Education, and BOCES involve certain risks that may result in various physical injuries, as well as the possible reckless conduct of other participants, and participation at sites that may be remote from available medical assistance. I am voluntarily participating in this activity with knowledge of the danger involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death. I further agree to indemnify and hold harmless Lovell Recreation District, Community Education, and BOCES and others listed for any and all claims arising as a result of my engaging in or receiving instruction in any Lovell Recreation District, Community Education, and BOCES activities or any activities incidental thereto, wherever, whenever, or however the same may occur. I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of Wyoming and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in Wyoming. I affirm that I am of legal age and am freely signing this agreement. If I am signing this agreement on the behalf of another individual I agree that I am a legal guardian or responsible party for the participant. By accepting this agreement I hereby give Lovell Recreation District, Community Education, and BOCES permission to use photos of myself, my child(ren), and any other participant in which I am signing who are participating in this or any future activity, on the Lovell Recreation District, Community Education, or BOCES website, social media, and other advertisements. I have read this form and fully understand that by signing this form, I am giving up legal rights and/or remedies that may be available to me for the ordinary negligence of Lovell Recreation District, Community Education, and BOCES or any parties listed above.Signature of participant or parent guardian *Clear SignatureName *FirstLastSignature of minor if over 14 years oldClear SignatureMinor nameFirstLastDate of signatures *Submit