Move United Waiver & Release of Liability Agreement
Move United, and its affiliated Chapters (“Released Parties”) are non-commercial, not for profit activity providers. The purpose of this
Move United Waiver & Release of Liability Agreement is to exempt, waive, and relieve Released Parties from any and all liability for
any harm, wrongful death, personal injury, property damage, claim or cause of action, including, but not limited to liability arising from
the negligence of Released Parties. “Released Parties” include Move United, Adaptive Sports Partners of the North Country, and their
affiliates, successors, predecessors, parents, subsidiaries, owners, representatives, administrators, directors, officers, agents, coaches,
employees, contractors, assigns, and volunteers; other participants, sponsoring agencies, sponsors, and advertisers; and, if applicable,
the owners, operators, and lessors of premises on which the activities or events take place.
In consideration of the undersigned Participant being allowed to participate in any way in Move United and/or Adaptive Sports
Partners of the North Country related events and activities, the Undersigned (“Undersigned” means the Participant or the
Participant’s parent, legal guardian, or legal representative when the Participant is under the age of 18 or legally incapacitated)
agrees and acknowledges as follows:
1. Risks of Activity. Participant will be taking part in activities that can be hazardous and involve the risk of physical injury
and/or death. The activities are inherently dangerous and Undersigned fully realizes the dangers of participating in the
activities. The dangers and risks of the activities include, but are not limited to the condition of the premises and equipment, and
the acts, omissions, representations, carelessness, and negligence of the Released Parties. Recognizing the risks and
dangers, the Undersigned voluntarily chooses for Participant to participate in the activities and expressly assumes all risks and
dangers of the participation in the activity, whether or not described above, known or unknown, inherent, or otherwise.
2. Risks of Participation. The Undersigned recognizes and understands that while Released Parties have undertaken
reasonable steps to lessen the risk of transmission of communicable diseases, including but not limited to, COVID-19,
in connection with participation in the activities, the Released Parties are not responsible in any manner for any risks related to
communicable diseases in connection with Participant’s participation in the activities. Specifically, the Undersigned
understands that COVID-19 is a highly contagious and dangerous disease, and that contact with the virus that causes COVID-19
may result in significant personal injury or death. The Undersigned is fully aware that participation in the activities
carries with it certain inherent risks related to transmission of communicable diseases (“Inherent Risks”) that cannot be
eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of
coming into close contact with individuals or objects that may be carrying a communicable disease; (2) the risk of transmitting or
contracting a communicable disease, directly or indirectly, to or from other individuals; and (3) injuries and complications
ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from communicable diseases or
the treatment thereof. Further, the Undersigned understands that the risks of all communicable diseases are not fully
understood, and that contact with, or transmission of, a communicable disease may result in risks to the Participant
including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not
currently ascertainable, and all of which are to be considered Inherent Risks.
The Undersigned hereby voluntarily accepts and assumes all risk of loss, personal injury, sickness, death, damage, and expense for
the Participant arising from such Inherent Risks. Furthermore, the Undersigned represents and warrants that Participant does
not knowingly carry any communicable diseases that may be transmitted during participation in the activities.
3. Release and Indemnification. Undersigned (a) unconditionally releases, forever discharges, and agrees not to
sue the Released Parties for any claims or causes of action for any liability or loss of any nature, including personal injury,
death, and property damage, arising out of or relating to Participant’s participation in any Move United/Adaptive Sports
Partners of the North Country events or activities or the Participant’s presence on or travel to the premises where such
events or activities take place, including, but not limited to claims of negligence, breach of warranty, and/or breach of contract the
Undersigned may or will have against the Released Parties; and (b) agrees to indemnify, defend, and hold harmless the Released
Parties from and against any liability or damage of any kind and from any suits, claims, or demands, including legal fees and
expenses whether or not in litigation, arising out of, or related to, Participant’s participation in such events or activities or the
Participant’s presence on or travel to the premises where such events or activities take place.
4. Helmet Use. Undersigned agrees that Participant shall use a helmet when participating in the following activities: Alpine
skiing, cycling, equestrian, ice hockey, outdoor rock climbing, snowboarding, white water kayaking, white water river rafting,
and any other activity when directed by Released Parties. Undersigned understands that a helmet is in no way a
guarantee of safety and that no helmet can protect the wearer against all foreseeable impacts to the head, and that the
activities can expose the Participant to forces that exceed the limits of protection provided by a helmet. Undersigned agrees
to assume full responsibility for complying with this paragraph and that Released Parties shall not be liable for any injury or
damages resulting from Participant’s failure to use a helmet.
Page | 2 Move United – 11/2023
I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING LEGAL RIGHTS
THAT OTHERWISE MAY EXIST. BY SIGNING BELOW, I HEREBY REPRESENT THAT I AM AT LEAST 18 YEARS OF AGE AND FULLY
COMPETENT TO SIGN THIS AGREEMENT ON MY OWN BEHALF BY CHECKING THE BOX.
Participant’s Signature Participant's Name (as stated on form) Date as submitted on form and
FOR PARTICIPANTS UNDER THE AGE OF 18 OR LEGALLY INCAPACITATED
Undersigned parent, or legal guardian, or legal representative acknowledges that he/she/they is not only signing this Agreement on his/her/their
behalf, but that he/she/they is also signing on behalf of the minor or legally incapacitated adult and that the minor or the legally incapacitated
adult shall be bound by all the terms of this Agreement. Additionally, by checking the box/signing this Agreement as the parent, or legal guardian, or legal
representative of a minor or legally incapacitated adult, the parent, legal guardian, or legal representative understands that he/she/they is also
waiving rights on behalf of the minor or legally incapacitated adult that the minor or legally incapacitated adult otherwise may have. The
Undersigned parent, or legal guardian, or legal representative agrees that, but for the foregoing, the minor or legally incapacitated adult would
not be permitted to participate in the activities. By accepting below, I hereby represent that I am the parent, legal guardian, or legal representative
of a minor, or legally incapacitated adult Participant and that I have the authority to sign on the Participant’s behalf.
Minor’s DOB Parent/Legal Guardian or Representative Signature Parent/Legal Guardian or Representative Name Relationship Date
Move United Waiver & Release of Liability Agreement
5. Medical Treatment. Undersigned understands that the Released Parties do not have medical personnel available at the
location of the activities. Undersigned hereby grants the Released Parties permission to administer first aid or to
authorize emergency medical treatment, if necessary. Undersigned understands and agrees that any such action by the
Released Parties shall be subject to the terms of this agreement and release, including any liability arising from the negligence of
the Released Parties when administering first aid or authorizing others to do so. Undersigned understands and agrees that the
Released Parties do not assume responsibility for any injury or damage which might arise out of or in connection with such
authorized emergency medical treatment.
6. Miscellaneous. Undersigned agrees (a) Participant will not engage in any activities prohibited by any applicable laws,
statutes, regulations, and ordinances; (b) this Agreement shall be governed by the laws of the State of New Hampshire and the
exclusive jurisdiction and venue for any claim shall be located in the state courts located in Grafton County, NH; (c) this
Agreement shall be binding upon the subrogors, distributors, heirs, next of kin, executors, and personal representatives of the
Undersigned; (d) this Agreement shall be construed as broadly as permitted by applicable law; and (e) that in the event that any
clause or provision of this Agreement shall be held to be invalid by any court of competent jurisdiction, the invalidity of such
clause or provision shall not otherwise affect the remaining provisions of this Agreement.
Move United – 11/2024
Move United Media Release Agreement
Move United and its affiliated Chapters are not-for-profit entities. “Released Parties” are Move United, Adaptive Sports Partners of
the North Country and their successors, predecessors, parents, subsidiaries, owners, representatives, administrators, directors,
officers, agents, coaches, employees, vendors, consultants, contractors, assigns, volunteers, participants, sponsoring agencies,
sponsors, advertisers, and event premises.
MEDIA RELEASE FORM
MEDIA/PHOTO WAIVER: Undersigned authorizes and gives full consent to Released Parties to copyright and/or publish for public view
any and all photographs, digital recordings, videotapes, and/or film in which Participant appears. Undersigned agrees that Released
Parties may transfer, use, or cause to be used, these digital recordings, photographs, videotapes, or films for any exhibitions, public
displays, publications, commercials, art and advertising purposes, television programs, and internet without limitations or reservations.
Participant’s Signature Participant's Name (as submitted on form electronically) Date as submitted on form electronically
FOR PARTICIPANTS UNDER THE AGE OF 18 OR LEGALLY INCAPACITATED
Undersigned parent, or legal guardian, or legal representative acknowledges that he/she/they is not only signing this Agreement on
his/her/their behalf, but that he/she/they is also signing on behalf of the minor or legally incapacitated adult and that the minor or the
legally incapacitated adult shall be bound by all the terms of this Agreement. Additionally, by signing this Agreement as the parent, or
legal guardian, or legal representative of a minor, or legally incapacitated adult, the parent, legal guardian, or legal representative
understands that he/she/they is also waiving rights on behalf of the minor or legally incapacitated adult that the minor or legally
incapacitated adult otherwise may have. By checking below, I hereby represent that I am the parent, legal guardian, or legal representative
of a minor, or legally incapacitated adult Participant and that I have the authority to sign on the Participant’s behalf.
Minor’s DOB Parent/Legal Guardian or Representative Signature Parent/Legal Guardian or Representative Name Relationship as on form
Date as submitted electronicallty
