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HomeEventsGolf League Fall Fun Scramble

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Golf League Fall Fun Scramble

PLEASE COMPLETE AND SEND THE FOLLOWING TO ME WITH YOUR CHECK BY THURSDAY, SEPTEMBER 21, 2017

  • Make checks payable to:   KCSC – Golf
  • Mail to me at:  Linda Pickett, 12419 Cambridge Circle, Leawood, KS  66209

In consideration of my participation in all phases of events, activities and excursions operated by the Kansas City Ski Club (KCSC), I hereby voluntarily release, waive and discharge and for my heirs, executors, administrators, successors and assigns, voluntarily release, waive and discharge KCSC, its officers, directors, agents, servants, employees and independent contractors from any and all claims, demands, damages and causes of action of an nature whatsoever, both known and unknown, to include, but not by way of limitation, THE ORDINARY NEGLIGENCE OF KCSC, ITS OFFICERS, DIRECTORS, AGENTS SERVANTS, EMPLOYEES AND INDEPENDENT CONTRACTORS. I understand and acknowledge that the events, activities, and excursions operated by KCSC have inherent risks, hazards, and dangers which could result in injury or death to myself and others. I understand and acknowledge that these events, activities, and excursions, which deal primarily but not exclusively with sporting and social activities, including skiing and snowboarding, could result in injury or death to myself or others. I agree for myself, my estate, heirs, executors, administrators, successors and assigns that I or my estate, heirs, executors, administrators, successors, and assigns will defend and indemnify KCSC, its officers, directors, agents, servants, employees and independent contractors in the event suit is filed by anyone as a result of my participation in any event, activity or excursion operated by KCSC which results in personal injury, death or property damage to myself to include the payment of all settlements, judgments, costs and attorney's fees resulting from such suit.

I therefore release KCSC, its officers, directors, agents, servants, employees and independent contractors from any and all claims, demands, damages, and causes of action of any nature whatsoever, both known and unknown, to include, but not by way of limitation, liability for personal injury, death or property damage resulting from the ordinary negligence of KCSC, its officers, directors, agents, servants, employees and independent contractors as a result of my participation in any event, activity or excursion operated by KCSC.

Name (please print)

__________________________________________Signature_______________________________________Date__________

 

WHO YOU WANT TO PLAY WITH:  _______________________________________________________

CHECK ENCLOSED:   _____ $30.00 regular league member         _____ $40.00 not a league member

When:
Sunday, October 1, 2017, 12:00 PM until 6:00 PM
Where:
Eagle’s Landing Golf Course
Belton, MO  
Contact:
Linda Pickett
913-451-5977
Category:
Sports
Registration is required by Thursday, September 21, 2017
Payment In Advance Only