GENERAL RELEASE OF LIABILITY & WAIVER (EVENTS, SPORTS, GYMS) ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties ---------- This document is made on ____________________ (____________________) by: Participant Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ In favor of: Organizer Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Activity / Event: ______________________________________________________ Date(s) & Location: ____________________________________________________ Known Risks: ___________________________________________________________ Medical Conditions Disclosed: __________________________________________ 3. EXECUTION & SIGNATURES ------------------------- Participant Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________