CONSENT AND WAIVER - NABA
Boxer's
Name:_________________________________________________________
I desire to voluntary engage in a boxing
contest sanctioned for the NABA title.
In consideration of your sanctioning contest,
I hereby, for my self, my heirs, executors, administrator and
assigns waive release any and all rights to claim for damages I may
or might have against the NABA, it's officers, directors or
employees, for any injury or damage suffered by me during my
participation in, and/or arising from traveling to and/or returning
from the below listed boxing event.
EVENT__________________________________DATE____________________
VENUE__________________________________________________
I understand and agree that while the referee
or the physician may be approved or designated by the NABA, neither
is employed by the NABA. I fully understand that I assume all
responsibility for any injury that I may incur in these boxing bout.
I have received a complete medical examination
by my physician which indicates that I am medically clear to
participate in this match and further indicated that I am free of
communicable disease including, HIV and Hepatitis B.
I am not aware of any medical condition that
would limit or prohibit me from engaging in this boxing match. In
addition, I also understand and appreciate that participation in
boxing carries a risk to me of serious injury and with my full
knowledge of these risks involved in boxing for myself, my heirs,
executors, administrators, next of kin, successors and assigns
hereby waive and release the NABA and it's officers, directors or
employees from any and all claims, potential claims, damages, court
costs and attorney's fees that may arise in whole or part, directly
or indirectly, from my participation in or as a result of this
boxing match and I further indemnify and hold harmless the NABA,
it's officers, directors or employees from any such claim that I or
my executors, administrators, heirs, next of kin, successors or
assigns may have or assert for damages, court cost and attorney's
fees with respect
I hereby affirm I have read and fully
understand the above. All of my questions have been answered to my
satisfaction.
_____________ ____________________
____________________
DATE BOXER'S
SIGNATURE BOXER'S MANAGER'S SIGNATURE |