NON-LIABILITY WAIVER FORM

I, [ ], hereby acknowledge that I have voluntarily chosen to participate in [CRAZY 8 PICKLEBALL MATCH] organized by [ STATEN ISLAND PICKLEBALL LLC] on [SEPTEMBER 20 2024] In consideration of being permitted to participate in this activity, I agree to the following terms and conditions:

1. Assumption of Risk: I understand and acknowledge that participation in STATEN

ISLAND PICKLEBALL LLC – CRAZY 8s involves inherent risks, including but not limited to physical injury, illness, or loss of personal property. I voluntarily assume all such risks and responsibilities associated with my participation.

2. Release of Liability: I hereby release, waive, discharge, and hold harmless STATEN ISLAND PICKLEBALL LLC, its employees, agents, representatives, volunteers, and all related parties from any and all claims, demands, causes of action, or liabilities arising directly or indirectly from my participation in CRAZY 8 at PREMIERE PICKLEBALL located at 236 RICHMOND VALLEY ROAD SI NY 10309, including but not limited to those arising

from negligence or any other acts or omissions.

3. Indemnification: I agree to indemnify and hold harmless STATEN ISLAND PICKLEBALL LLC and its employees, agents, representatives, volunteers, and all related parties from all losses, damages, costs, or expenses, including reasonable attorney fees, incurred as a result of any claims or lawsuits brought against them arising from my participation in [CRAZY 8s PICKLEBALL DUPR EVENT].

4. Medical Authorization: I authorize my own Medical Insurance or Guardian and its representatives to seek medical treatment on my behalf in the event of an emergency, and I agree to be responsible for any associated medical expenses.

5. Severability: If any provision of this waiver form is deemed invalid or unenforceable, the remaining provisions shall remain in full force and effect.

6. Governing Law: This waiver form shall be governed by and construed in accordance

with the laws of New York Jurisdiction, without regard to its conflict of laws principles. By signing below, I acknowledge that I have carefully read, understood, and agreed to the terms and conditions stated in this non-liability waiver form. I understand the legal consequences of signing this document and waive any right to assert any claims against [STAYEN ISLAND PICKLEBALL LLC] arising from my participation in [CRAZY 8s DUPR EVENT]

Participant's Name: __________________________

Participant's Signature: _______________________

Date: _________

Guardian if participant have no Medical Insurance

Name and Signature:

____________________________ | _____\_____\2024

Participants