It is the responsibility of the undersigned to ensure that the above-named person is medically fit to participate in strenuous on-rink or off-rink activities. As stated below, participation in roller derby activities presents an inherent risk of injury to person or property. The undersigned certifies that the above-named participant has no known conditions that prohibit or limit participation in any derby/skating activities held by the Shoreline Roller Derby League. Additionally, the undersigned must have medical insurance in place for the participant to cover any expenses related to any potential injury that may arise from their participation in Shoreline roller derby.

Covid-19 Provision

     COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Shoreline Roller Derby has put in place preventative health and safety measures to reduce the spread of COVID-19; however, we cannot guarantee that you or other household members will not become infected with COVID-19.

Equipment and Skates

     Participants must wear the following mandatory safety equipment during all Shoreline roller derby on-rink activities and practices: Knee, Elbow and Wrist Pads, Mouth Guards and Helmet. Butt pads and tailbone guards are strongly recommended. Eyeglasses must have plastic shatterproof lenses. The undersigned must take full responsibility that the above-named participant is wearing the aforementioned safety equipment at all times and that it is properly worn. Only Quad roller skates are permitted. All skates must be rink-safe, meaning that their use must not gash, indent or blemish the skating surface or any other surface and that the skates will not cause injury to property or person(s). All liabilities thereof are undertaken by the undersigned. Participants should use the softest wheel composition available to achieve the best possible grip on the skating surface.

 
Conduct

     Spectators (patrons on the premises as a result of your involvement in the roller derby, skating practice, public appearances, fund raising activities or any other sanctioned Shoreline Roller Derby activity as well as participants must behave in a respectful manner to both person and property. Behavior which could potentially lead to intentional or unintentional bodily injury or injury to property will not be tolerated.
Indemnification and Risk Acknowledgment: In consideration of being allowed to participate in any way in the Shoreline roller derby program, related events and activities, including, but not limited to: practice sessions, team meetings, public appearances, fundraising activities or travel to and from the aforementioned activities, the undersigned acknowledges, appreciates and agrees that:
     1. The risk of injuries from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury remains; and,

 
     2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and I assume full responsibility for my participation; and,

     3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

 
     4. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending and/or participating in Shoreline Roller Derby activities, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants and their families; and,

 
     5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS any Shoreline Roller Derby, rinks, coaches, their officers, officials, agents, and/or employees, other participants, volunteers, sponsoring agencies, sponsors and advertisers ("RELEASEES") WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss, or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.