PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY, WAIVER OF CERTAIN LEGAL RIGHTS, AND AN ASSUMPTION OF RISKS AGREEMENT.

I acknowledge that this athletic event is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to: actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, event monitors and/or producers of the event; lack of hydration, weather, and/or other natural conditions.  I hereby assume all of the risks of participating in this event and all future Pacific Coast Rugby League or Los Angeles Mongrel Rugby League events.

I certify that I am physically fit, have sufficiently trained for participation and have not been advised otherwise by a qualified medical person.

I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by Pacific Coast Rugby League, Los Angeles Mongrel Rugby League, their directors, officers, employees, volunteers, representatives and agents, the event sponsors and event volunteers for the this and all future events in which I may participate and it will govern my actions and responsibilities at aid event.

In consideration of my application and permitting me to participate in this event and all future events, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) Waive, release, and discharge from any and all liability for my death, disability personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Pacific Coast Rugby League and Los Angeles Mongrel Rugby League and their directors, officers, employees, volunteers, representatives and agents, the event sponsors and event volunteers.

(B) indemnify and hold harmless all entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of my actions during this event or any future Pacific Coast Rugby League and Los Angeles Mongrel Rugby League events.

I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident, and/or illness during this event. I understand that at this event  or any future Pacific Coast Rugby League and Los Angeles Mongrel Rugby League events or related activities

I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and/or assigns.

This AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under the applicable law.

Form updated 28 January 2024