Northern Steppes MEDIEVAL RE-CREATION SOCIETY
located in Fort Wayne, IN
WAIVER AND RELEASE

In consideration of receiving permission from Northern Steppes Medieval Re-creation Society to participate as a member of the Northern Steppes and to participate in any activity, event, tournament, contest or meeting that Northern Steppes participates, sponsors, attends, or supervises, the Undersigned releases Northern Steppes, the city, the owner of any premises where any Northern Steppes activity, event, tournament, contest or meeting occurs, and any other member of the Northern Steppes, individually, from any and all liability, claims, demands, actions, and causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned, while participating in any activity, event, tournament, contest or meeting that Belegarth Northern Steppes participates, sponsors, attends or supervises.

The Undersigned being duly aware of the risks and hazards inherent upon participating in any activity, event, tournament, contest or meeting of the Northern Steppes, elects voluntarily to participate, knowing that participation requires physical contact by others to the person of the Undersigned and knowing that such participation may become hazardous and dangerous during the time that the Undersigned voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by the Undersigned, or any property of the Undersigned while participating in any activity, event, tournament, contest, or meeting that the Northern Steppes participates, sponsors, attends or supervises.

This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned.

In signing the foregoing release, the Undersigned acknowledges and represents:

That they have read the above release, understands it, and signs voluntarily;
That they are over 18 years of age and of sound mind;
Undersigned represents that they have no physical or mental defects known to the Undersigned and unknown to the appropriate representative of the Northern Steppes that would endanger or harm the Undersigned while participating in any activity, event, tournament, contest or meeting that the Northern Steppes participates, sponsors, attends, or supervises.