HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES
being conducted by Countryside Driving Range LLC, Birdies Pub LLC, Island Green
at 1199 Pleasant Valley Rd S. Westminster MD 21158, including by way of example
and not limitation, any risks that may arise from negligence or carelessness on the
part of the persons or entities being released, from dangerous or defective
equipment or property owned, maintained, or controlled by them, or because of
their possible liability without fault.
I CERTIFY that I am physically fit, have sufficiently prepared or trained for
participation in this activity, and have not been advised to not participate by a
qualified medical professional. I CERTIFY that there are no health-related reasons
or problems which preclude my participation in this activity.
I acknowledge that this Accident Waiver and Release of Liability Form will be used
by the event holders, sponsors, and organizers of the activity in which I may
participate, and that it will govern my actions and responsibilities at said activity.
In consideration of my application and permitting me to participate in this activity,
I hereby take action for myself, my executors, administrators, heirs, next of kin,
successors, and assigns as follows:
(1) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not
limited to, liability arising from the negligence or fault of the entities or persons
released, for my death, disability, personal injury, property damage, property
theft, or actions of any kind which may hereafter occur to me including my
traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS:
Countryside Driving Range LLC, Birdies Pub LLC, Island Green at 1199 Pleasant
Valley Rd S. Westminster MD 21158 and/or their directors, officers, employees,
volunteers, representatives, and agents, and the activity holders, sponsors, and
volunteers;
(2) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or
persons mentioned in this paragraph from any and all liabilities or claims made as
a result of participation in this activity, whether caused by the negligence of
release or otherwise. I acknowledge that Countryside Driving Range LLC, Birdies
Pub LLC, Island Green at 1199 Pleasant Valley Rd S. Westminster MD 21158 and
their directors, officers, volunteers, representatives, and agents are NOT
responsible for errors, omissions, acts, or failures to act of any party or entity
conducting a specific activity on their behalf.
I acknowledge that this activity may involve a test of a person's physical and
mental limits and carries with it the potential for death, serious injury, and
property loss. The risks include, but are not limited to, those caused by terrain,
facilities, temperature, weather, condition of participants, equipment, vehicular
traffic, lack of hydration, and actions of other people, including, but not limited to,
participants, volunteers, monitors, and/or producers of the activity. These risks are
not only inherent to participants, but are also present for volunteers.
I hereby consent to receive medical treatment which may be deemed advisable in
the event of injury, accident, and/or illness during this activity. I understand while
participating in this activity, I may be photographed. I agree to allow my photo,
video, or film likeness to be used for any legitimate purpose by the activity
holders, producers, sponsors, organizers, and assigns. The Accident Waiver and
Release of Liability Form shall be construed broadly to provide a release and
waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS
CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT
AND I SIGN IT OF MY OWN FREE WILL.
