Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement
Miami Valley Orienteering Club (MVOC), an Orienteering USA member club

In consideration of being permitted to participate in any way in the Orienteering USA member club events, I and/or my minor child, all below named participants and/or group members, our personal representatives, assigns, heirs, and next of kin: 
1.  I acknowledge that I understand that there are risks associated with orienteering activities and that I am in good health and if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the activity. The risks may cause minor injuries, serious injuries or in extreme circumstances even death.
2.  I understand that the risks associated with orienteering may be caused by me through my own actions, or inaction, or the actions or inaction of others participating in the activity and that there may be other risks either not known to me or not readily foreseeable. I fully accept all such risks and responsibility for losses, costs and damages, I incur as a result of my participation in the activity. 
3.  I hereby accept and assume all such risks, and assume all responsibility for the losses, costs and/or damages following such injury, or death, even if caused in whole or in part, by the negligence of any and all of those involved with the running of the event and hold them harmless.
4.  I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely without the inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect. 

Media Release

I understand that during the operation of the activity, MVOC and/or its agents have the right to take photographs, videotape, or digital recordings of any participant, and to use these in any and all media, now or hereafter known, for the purpose of publicity and/or education.  I understand and consent that my name and identity may be revealed therein or by descriptive text or commentary.  I do hereby release to MVOC and/or its agents all rights to exhibit this work in print and electronic form publicly or privately.  I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used.  I understand that there will be no financial or other remuneration for any recording, either for initial or subsequent transmission or playback.  I also understand that MVOC is not responsible for any expense or liability incurred as a result of my participation in this recording.

SI-Card Rental Agreement

In consideration of renting an MVOC electronic punch card(s) (known as an "SI-card") at this event, I agree to pay a rental fee of $2.00 per SI-card.  Further, if I do not return the SI-card to MVOC event organizers immediately after my participation, I agree to pay a replacement fee of $40.00 per SI-card.  If I mistakenly leave the event site without returning the rental SI-card(s), I will promptly return the SI-card to MVOC, 4304 Brewsters Run Ct., Bellbrook, OH 45305 in a secure, postage-paid package to avoid subsequent invoice and collection of the replacement cost.

Event Site: ________________________

_________________________________	___________________________________	___________
Print Participant Name	Signature of Participant	Date 
_________________________________	___________________________________	___________
Print Name of Parent/Legal Guardian	Signature of Parent/Legal Guardian	Date
(If Participant is under age 18)	(If Participant is under age 18)	

Telephone ________________________	Vehicle License Plate _________________	State ______
(where we can contact you today if needed)	(of the vehicle you arrived in today)

□ Course fee	$5
□ Member/youth
	OR own SI-card	-$2
□ Family max. 	$10
□ Compass Rental	$1
	($20 or key deposit)
□ Whistle	$1

Total

Total	$______

	Affiliation (School, Club, etc.)	Address	City	State	Zip
					
	Participant E-Mail Address		Course
			
	Other group members	E-Mail	Class / Division
			
		E-Mail	SI Card #
		
		E-Mail	MVOC Use Only
			Start #______