YOUTHSERV CHARITY GOLF TOURNAMENT

YOUTHSERV CHARITY GOLF TOURNAMENT

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INDIVIDUAL REGISTRATION

The section is for individual registration only

If signing up as a foursome, list the names and shirt sizes in the team description box

TEAM REGISTRATION

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION

WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT
In consideration for being permitted to utilize the facilities, services, and programs of the YouthServ Academy and Life Legacy Capital for any purpose,
including but not limited to observation or use of facilities or equipment, or participation in any program affiliated with YouthServ Academy or Life Legacy Capital, without respect to location, the undersigned, for himself or herself and any personal representatives, heirs, and next
of kin, hereby acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will inspect
and carefully consider such premises and facilities or the affiliated program. It is further warranted that such entry into YouthServ Academy or Life Legacy Capital for observation or use of any facilities or equipment or participation in such affiliated program constitutes an
acknowledgement that such premises and all facilities and equipment thereon and such affiliated programs have been inspected
and carefully considered and that the undersigned finds and accepts same as being safe and reasonably suited for the purpose of
such observation, use, or participation.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER WITH ANY AFFILIATES OF YOUTHSERV ACADEMY OR LIFE LEGACY CAPITAL, FOR ANY PURPOSE, INCLUDING BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR
EQUIPMENT, OR PARTICIPATION IN ANY PROGRAM AFFILIATED WITH YOUTHSERV ACADEMY OR LIFE LEGACY CAPITAL, WITHOUT
RESPECT TO LOCATION, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:
1) THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE YOUTHSERV ACADEMY, LIKE IT R LOVE IT, INC, or Life Legacy Capital, its
directors, officers, employees, and agents (hereinafter referred to as “releasees”) from all liability to the undersigned, his
personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands therefore on
account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence of the releasees or otherwise while the undersigned is in, upon, or about the premises or any facilities or equipment therein, or
participating in any program affiliated with YouthServ Academy or Life Legacy Capital, without respect to location.
2) THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them
from any loss, liability, damage, or cost they may incur due to the presence of the undersigned in, upon, or about YouthServ Academy  or Life Legacy Capital premises or in any way observing or using any facilities or equipment of YouthServ Academy  or Life Legacy Capital participating in any
program affiliated with YouthServ Academy  or Life Legacy Capital whether caused by the negligence of the releasees or otherwise.
3) THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY
DAMAGE (ex: communicable diseases such as MRSA, influenza, and COVID-19) due to negligence of releasees or otherwise while in, about, or upon the premises of YouthServ Academy  or Life Legacy Capital and/or while
using the premises or any facilities or equipment thereon or participating in any program affiliated with YouthServ Academy  or Life Legacy Capital.
THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is
intended to be as broad and inclusive as is permitted by the law of the state of Florida and that if any portion thereof is held
invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I HAVE READ THE ABOVE WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT:

MEDIA RELEASE FORM

I hereby give permission and consent to Youthserv Academy and Life Legacy Capital, or persons operating on its authorized behalf, the permission to take photographs, action shot pictures of my child/children for the purpose of publication and illustration in all advertising and public media whatsoever. I also, agree to allow Youthserv Academy, Life Legacy Capital, and L.I.F.E Sports Academy to post names and pictures on the organizations website.

I have read and understand this information in its entirety and agree to the terms of this policy.

Individual or Foursome Caption Photo

Payment

USD