CONSENT AND
WAIVER - WBA WOMEN'S
Boxer's
Name:_________________________________________________________
I desire to
voluntary engage in a boxing contest sanctioned for the WBA
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 WBA,
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 WBA, neither is employed by the WBA. 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 WBA 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 WBA,
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 |
