Individual Adult Form

ADULT FORM (18years and older) I form per person. Red starred boxes are required.

Northwest Civil War Council Adult Membership Form 2017

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

Phone *

Email *

Unit you wish to join *

Please choose one *

Military Combatant Non Combatant

Are you a Unit Commander or Unit Rep? *

Unit Commander Unit Rep

GENERAL RELEASE OF LIABILITY-------------------------------------- I am fully aware of the nature and purpose of the activities of the Northwest Civil War Council (NCWC). I agree to be bound by the bylaws, rules and policies of the NCWC and to obey the direction of the governing officials at all NCWC events. I acknowledge that reenacting, black powder shooting, and related activities are hazardous, and that I have made a voluntary choice to participate. I agree to assume any and all risks of injury or death that may result from my participation in NCWC events. I agree to release, waive, and discharge from all liability to myself or to any of my family members, and promise not to sue the NCWC, its governing officials, its board of directors, or the owner or lessor of any property on which the NCWC conducts activity, whether caused by those parties, negligence or any other reason, for any injuries which may result form preparing for, practicing for, traveling to or from ,or participating in any NCWC event. I agree to indemnify and hold harmless the parties release above and each of them from any loss, liability, damage or claim they may incue due to my actions during NCWC events, whether caused by their negligence or otherwise. I understand that the NCWC's insurance protects the NCWC, not me. Accordingly, if I injure someone or cause property damage while participating in an NCWC event, the fact that the NCWC has insurance will not prevent the injured party from seeking compensation directly from me. It is my intent that this release be as broad and inclusive as allowed by law, and that if any portion is invalid the remainder shall continue in full force and effect. This release is entered into solely for NCWC events and does not confer a release upon any parties for their actions when not acting in furtherance thereof.------------------------------ I have read, understood and freely agree to the release and all its terms---------Sign in box below *

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