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King of Prussia Ski Club Registration and Release of Liability
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"*" is a Required Field

Complete form and submit your  payment to Ski Trip or Activity Leader

Note: Only use this form if your Activity is list in the Activity Drop Down, otherwise use the form found HERE

I, (as it appears on picture ID)

, am voluntarily participating in the

to be held on

sponsored by the King of Prussia Ski Club,

not-for-profit organization. I recognize that any of the recreational activities that occur during this event may be dangerous, and I voluntarily assume all risks involved. I have made myself aware of such risks and acknowledge them, and my signature on this document may serve as proof of my assumption of these hazards and risks. I agree on behalf of myself, my heirs, executors, personal representatives, and assigns not to hold the King of Prussia Ski Club, Inc., its officers, board members, members (including but not limited to, the event organizer[s] or participants [collectively “KOPSC”]) liable for any accident, injury, illness, or any loss resulting from my participation. I am executing this Release knowingly, voluntarily, and without reservation.

 

This Release shall be governed by and construed in accordance with the laws of the Commonwealth of Pennsylvania, without giving effect to conflicts of law principles. For any cause of action against KOPSC resulting from participation in the above referenced event, the parties hereto on behalf of themselves, their heirs, executors, personal representatives, and assigns irrevocably consent to the jurisdiction and venue of the courts of the Commonwealth of Pennsylvania located in Montgomery County, Pennsylvania, and of the United States District Court for the Eastern District of Pennsylvania. No action, regardless of form, arising out of the above referenced event shall be brought more than one (1) year after the cause of action has accrued

 

I understand that KOPSC routinely takes photographs of its members engaged in meetings and activities and uses them for various purposes, including, but not limited to, publication in its monthly newsletter, its website, and/or other promotional media. I expressly consent to KOPSC’s use of my likeness (including but not limited to, photographs or other images) for any and all purposes it deems necessarily in KOPSC’s sole and exclusive discretion.

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THIS IS A LEGAL DOCUMENT. The undersigned participant agrees that s/he has had adequate time to review this Release (a copy of which is posted at www.kopsc.com), understands the terms and their legal significance, and has had the opportunity to have the Release reviewed by legal counsel of his/her choosing.

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*Must be a member in good standing to participate in ski  trips.

In event of emergency, 

For Over night trips:

Courtesy dictates that you let them know of your request

Thanks for registering!!

Other information needed for this trip or activity (please refer to advertisement, e.g. ability level, t-shirt size, dinner entrée, etc.)

Check One *:

("Release")

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