ARTICLE XII: AMTGARD WAIVER
Name:__________________________________ Persona: ________________________________
Birth date: _______________________________ Date joined: _____________________________
Phone: _________________________________
Emergency contact:_________________________ Phone: _____________________________
Emergency contact:_________________________ Phone: _____________________________
I understand that this is a physical activity, and I assume any risks that I take are my responsibility. I agree to release and hold harmless Amtgard, and all members of all Amtgard Chapters from and against all claims, demands, and actions in respect to damage to my person or my property arising in connection with my participation in Amtgard functions. Furthermore, I accept and understand that neither Amtgard nor any Amtgard member is responsible for any injuries received or given at any Amtgard function.
_____________________________________________ ________________________
Signature Date
_____________________________________________ ________________________
Signature of legal guardian if a minor Date