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<br />Attachment D <br /> <br />Skatepark <br /> <br />Voluntary Release, Acknowledgment <br />and Acceptance of Risks by Participant <br /> <br />(Please read carefully before signing) <br /> <br />Participant Name: <br />Address: <br /> <br />Date: <br /> <br />In order to participate in this activity, I agree to hold the city of <br />any promoters, officials, advertisers, and property owners harmless, and I waive any right to make <br />claims or lawsuits against them. I acknowledge that this is not an essential service provided by the <br />city of <br /> <br />I understand and acknowledge that the activities I am about to voluntarily engage in as a <br />participant have certain risks. I understand that these risks known or unknown, anticipated or <br />unanticipated may also result in injury, death, illness, disease or damage to myselfor my property <br />or other third parties. I voluntarily agree and promise to accept and assume all responsibilities, and . <br />injuries, death, illness, disease or damage to myself or my property arising from my participation <br />in this activity. <br /> <br />This waiver does not apply to any injuries or damages that are the result of willful, wanton, or <br />intentional misconduct. My participation in this activity is voluntary and no one is forcing me to <br />participate in spite of the risks. I understand the effect of this waiver and acceptance of risk on my <br />legal rights. <br /> <br />My signature indicates that I have read this entire document, understand it completely, <br />acknowledge that it cannot be modified or changed in any way by oral representations, and agree <br />to be bound by its terms. This agreement shall be binding on behalf of myself, my heirs, assigns, <br />personal representative and estate. <br /> <br />Signature: <br /> <br />If participant is under 18 years old, this release must be co-signed by a parent or guardian. <br /> <br />PARENT/GUARDIAN: <br /> <br />12 <br />