The Society for Creative Anachronism, Inc.
P.O. Box 360789 ' Milpitas, CA 95036-0789 ' Tel (408) 263-9305 ' Fax (408)
263-0641
MINOR'S CONSENT TO PARTICIPATE AND HOLD HARMLESS AGREEMENT
_______________________________________________________(hereafter referred
to as "the minor")
Print Minor's Legal Name
does hereby state that the minor wishes to participate in activities sponsored
by the international organization known as the Society for Creative Anachronism
Inc, a California not-for-profit corporation (hereafter "SCA").
The SCA has rules which govern and may restrict the activities in which the
minor can participate. These rules include, but are not limited to: Corpora,
the By-laws, the various kingdom laws and the Rules for combat related activities.
The SCA makes no representations or claims as to the condition or safety of
the land, structures or surroundings, whether at not owned leased, operated
or maintained by the SCA.
The minor's parent(s) or guardian(s) understand that all activities are VOLUNTARY
and that the minor does not have to participate. It is understood that these
activities are potentially dangerous or harmful to the minor's person or property,
and that by participating, the minor's parent(s) or guardian(s) voluntarily
accepts and assumes the risk of injury to the minor or damage to the minor's
property.
It is undertood that the SCA does NOT provide any insurance coverage for the
minor's person or property; and minor's parent(s) or guardian(s) acknowledge
that they are responsible for the minor's safety and the minor's own health
care needs, and for the protection of the minor's property.
In exchange for allowing the minor to participate in these SCA activities
and events, the minor by and through the undersigned, agrees to release from
liability, agrees to indemnify, and hold harmless the SCA, and any SCA Agent,
officer, or SCA employee acting within the scope of their duties, for any
injury to the minor's person or damage to the minor's property.
This Release shall be binding upon the minor, the parent(s) or guardian(s),
any successors in interest, and/or any person(s) suing on the minor's behalf.
The minor's parent(s) or guardian(s) understand that this document is complete
unto itself and that any oral promises or representations made to them concerning
this document and/or its terms are not binding upon the SCA, its officers,
agents and/or employees.
PARENT OR LEGAL GUARDIAN MUST SIGN BELOW:
I, the undersigned state that I am the parent or legal guardian of the minor
whose name appears above. I understand that the above terms and conditions
apply to said minor and to myself. I further understand that said minor cannot
participate under ANY circumstances in armored martial arts, any combat-related
activities, combat archery, or fencing without parental consent where such
participation is allowed by kingdom law. The minor will not be able to participate
in any SCA activities without entering into this agreement. This document
is binding on myself, the said minor, and any person suing on behalf of said
minor.
Minor's Name (PRINT): ____________________________________________________________________
Birthdate of minor: __________________________ Homestate of minor: _____________________________
Legal Name (PRINT): ______________________________________________________________________
Parent/Guardian
Legal Name (SIGN): _________________________________________ Date: _________________________
Parent/Guardian