Accident Waiver and Release of Liability Form

I hereby assume all of the risks of participating in services provided by JR. Lessons LLC, 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, maintained or controlled by them, or because of their possible liability without fault.

I certify that I am physically fit 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 services provided by JR. Lessons LLC. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the organizers of the services of JR. Lessons LLC. in which I may participate and that it will govern my actions and responsibilities at.

In consideration of my application and permitting me to participate in services provided by JR. Lessons LLC., I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A)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 services provided by JR. Lessons LLC. THE FOLLOWING ENTITIES OR PERSONS: JR. Lessons LLC, Joseph Colavito, Robert Maier, and/or their staff.

(B) I 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 services provided by JR. Lessons LLC., whether caused by negligence or otherwise.

I acknowledge these lessons may carry with it the potential for Injury. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, and lack of hydration.

The accident waiver and release of liability 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 ON MY OWN FREE WILL.

Print Participant’s Name_____________________________ Age________________________

Signature_____________________ (if under 18 years Parent or Guardian must sign) Date______________________

PARENT/GUARDIAN WAIVER FOR MINORS (under 18 years old)

The Undersigned parent and or natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in services provided by JR. Lessons LLC., and has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect on lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.

Print Participant’s Name and Age__________________________________

Signature__________________________ (if under 18 years Parent or Guardian must sign) Date__________________