2021 Lake Howell Baseball Alumni Game
Please return form to:
Lake Howell High School
C/O Coach Giambalvo
4200 Dike Rd.
Winter Park, FL 32792
(PLEASE PRINT) NAME______________________________________________________
HOME ADDRESS _ ___ ______
PHONE _______________________EMAIL ______________________________________
OCCUPATION _________________ EMPLOYER _________________________________
GRADUATION YEAR __________
EMERGENCY CONTACT _______________________ PHONE NUMBER _ _______
INSURACE COMPANY _________________________ POLICY NUMBER _ _____
On behalf of myself, my heirs and next of kin, personal representative, agents, insurers, successors and assigns (all hereinafter "Releasors") hereby FOREVER RELEASE, DISCHARGE AND COVENANT NOT TO LAKE HOWELL HIGH SCHOOL, and/or THE SEMINOLE COUNTY PUBLIC SCHOOLS., their insurers, administrators, and any and all participants, coaches, sponsoring agencies, guest, sponsors, advertisers, local organizing committees (and if applicable) owners, lessors and operators of premises used to conduct any practice, camp, clinic, meet, tournament, practice or activity (all hereinafter "Releasees") from any and all liabilities, claims, demands, causes of action or losses of any kind or nature, past, present or future, direct or consequential that I may hereafter have for PERSONAL INJURY, PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGES TO PERSON OR PROPERTY OR DEATH, arising out of my participation in, attendance at or traveling to and from including, but not limited to, LOSSES CAUSED BY THE PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASEES or hidden, latent or obvious defects in the facilities or equipment used. Releasor understands and acknowledges that the sport of baseball in general has inherent dangers that no amount of care, caution, training, instruction, supervision or expertise can eliminate. RELEASOR EXPRESSLY AND VOLUNTARILY ASSUMES ALL RISK OF PERSONAL INJURY, PERMANENT , TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGES TO PERSON OR PROPERTY OR DEATH, sustained while participating in the Alumni Baseball game including the risk of PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASEES, or hidden, latent or obvious defects in the facilities or equipment used. Releasor acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent, temporary, total or partial disability, disfigurement, paralysis and any other losses to person or property, including death, and that severe social and economic losses may result not only from releasor's own action, inactions or negligence, but also from the actions, inactions or negligence of other notwithstanding the rules of play or the condition of the premises or of any equipment used. Further Releasor acknowledges and fully understands that there may be other associated risks with such activities which are not known or not reasonably foreseeable at this time. I acknowledge that I have had sufficient opportunity to review the provisions of this document and understand its purpose meaning and intent.
Participants Signature:_ ___Date: ____________
