Armageddon Waiver

Legal Name *

First Name

Last Name

Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Have you ever been convicted of a crime that requires you to register as a sex offender? *

Yes

No

I, the undersigned, understand and acknowledge that the program that I am about to attend and participate in is being presented by Belegarth Medieval Combat Society (BMCS) at the location of Billie Creek Historical Village which is a property of the Greg Larson. The Officers and their agents of BMCS as well as the Greg Larson and their agents shall herein be known as Hosts. *

Yes

No

By signing this release form, I give my full consent to such contact and physical activities that may cause me bodily harm or death. I hereby acknowledge that I fully realize that during the training I will always at all times have the option of withdrawing from participation in any exercise or combat, and that it is my personal responsibility to decide which exercises and combats that I will participate in. I hereby also represent that I am physically and emotionally fit to engage in these combat activities. I also acknowledge that the members of BMCS are under no obligation to require me to prove my degree of health and fitness. I further acknowledge that by entering into the training, that at any time during the training I may be exposed to a risk or personal injury or death arising out of possible negligence, unavoidable accident, or otherwise, due to the very nature of the combat activities. *

Yes

No

I, the undersigned, understand that participation in the events and the practice sessions of BMCS includes possible strenuous physical encounters between myself and other training partners or officers that could lead to serious physical discomfort, and, or, permanent impairment. *

Yes

No

I understand that BMCS, the officers, nor their agents, guarantee the fighting field to be free from debris or defects. *

Yes

No

I understand that participants are permitted to take photographs and video in public areas of the event site, and here by grant consent for the use of my likeness by the BMCS for purposes of promotion of the BMCS and its mission as defined by the BMCS bylaws. *

Yes

No

RadioI agree to abide by the Code of Ethical Guidelines contained within the BMCS bylaws. If my conduct, actions, or statements while participating in or attending the training, or the conduct, actions, or statements of a minor which I am registered as the chaperone of, are determined to be inappropriate, detrimental to the safety or well-being of the other participants, or in violation of the Code of Ethical Guidelines, I shall willingly comply with the request of the BMCS Officers or their agents known as Marshals/Heralds to remove myself and my effects from the site of training or combat immediately. I acknowledge that through my own actions I may be liable for injuries to Persons and/or property. *

Yes

No

I agree to abide by the Code of Conduct set forth for the event. I understand that failing to do so could result in actions such as, but not limited to, removal from the camp I am in, removal from Armageddon XXII, 1-year ban from Armageddon, a site specific ban, or membership revocation from BMCS. *

Yes

No

By signing this agreement and as part of the consideration for participating in attending the combat or training, it is my stated intention to knowingly assume all risks involved in participating in or attending these events and training, and to BMCS, and their officers and agents from any responsibilities or liability for any injury, physical or emotional, that I may sustain while participating in or attending the training. I fully understand and agree that the Hosts and their agents will not be held liable for any injuries, damages, or death caused by or resulting from negligence of the Hosts, which is caused in whole or in part by any of my acts, including negligent acts. *

Yes

No

I agree for myself and successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my successors assert my claim in contravention of this Agreement, I or my successors shall be liable for the expense (including but not limited to, legal fees) incurred by the other party or parties. No officer or agent has the authority to modify this agreement orally. A waiver of any provisions of this Agreement shall not be construed as a modification of any other provision, or as consent to any other subsequent waiver or modification. *

Yes

No

I understand that the Hosts of Armageddon XXII are in no way responsible if I contract COVID-19 while at the event. *

Yes

No

I have fully read, understand and agree to everything stated in this release form. *

Yes

No