AGREEMENT, RELEASE AND WAIVER OF LIABILITY

I recognize and understand that there are certain inherent risks to which I will be exposed because of the nature and level of the sports activity in which I have agreed to participate. I understand and agree that Chicken N Pickle, Youth Horizons, and their agents and officials assume no responsibility for injury or illness I may sustain as a result of my physical condition or my participation in the event. I understand it is my responsibility to provide my own accident and health coverage and that Chicken N Pickle, Youth Horizons, and their agents and officials do not provide any accident or health insurance for their participants or volunteers.

I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any tournament official relative to my ability to safely complete the tournament. I certify as a material condition to my being permitted to enter this tournament that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event, I hereby authorize and give my consent to the Event Directors to secure from any accredited hospital, clinic and/or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, video-graphic or electronic recording of this event for legitimate purposes.