Perryville 150th Commemoration Reenactor Waiver
October 5-7, 2012
Release of Liability, Hold Harmless Agreement & Indemnity
IMPORTANT…WAIVER MUST BE SIGNED AT PERRYVILLE BATTLEFIELD - DURING REGISTRATION. YOU MAY PRINT A COPY AND FILL OUT ALL BUT YOUR SIGNATURE AND DATE. ONE WAIVER IS NEEDED FOR EACH PARTICIPANT - you will be required to sign this when arriving at Perryville Battlefield.
Additional copies will be available at the Battlefield.
PARTICIPANT'S NAME: ______________________________________________________________________________
In case of emergency call: __________________________ at ( ) _____ -________
I, ________________________________(participant), or if minor, the parent or legal guardian of
__________________________(minor), recognize that black powder, firearms, cannons, and edged weapons can be dangerous if not used in a proper manner and that reenacting in general may be considered a dangerous activity. While it is the intent of the Kentucky Department of Parks to make the event or work on the event site as safe as possible, there can be no guarantees of absolute safety. This event is held on undeveloped land that cannot be made completely safe without destroying its rustic character. In addition, this event may be considered strenuous and held in prevailing hot and/or wet weather conditions. In exchange for being allowed to participate in the event activities or volunteer to work on the event site, I release the Commonwealth of Kentucky, Tourism Cabinet, Kentucky Department of Parks, and agents, officers, and employees thereof, from any and all claims for personal injury or loss, financial loss of any kind or suffered, or damage to personal property suffered or sustained by me.
I also agree to assign to the Battle of Perryville/Kentucky Department of Parks, or its assigns, the rights to use my image in recorded photographic images of the event without restriction and do hereby waive all rights to compensation for the same.
I further understand that this event is by invitation only and that I have read and understand all of the event rules and any violation of those rules will result in a revocation of invitation and, as a result, I can be evicted from the event without notice.
SIGNATURE: __________________________________ DATE:__________________
SIGNATURE OF PARENT OR GUARDIAN:___________________________________
WITNESS: ____________________________________ DATE: ________________