2005 ASPEN ftUGGERFEST
WAIVER OF LIABILITY AND INSURANCE FORM

The undersigned hereby represents and agrees to the following:

1. That he/she is an experienced player of the game of rugby football and is familiar with the laws of the
game.

2. That he/she is aware that the game of rugby football is a contact sport in which participants expose
themselves to the risk of bodily injury or death through their participation in the game,

3. That he/she wishes to participate in the play of rugby football during the 38 m Annual Aspen

Ruggerfest Tournament on September 15th through 18th located at Wagner and Rio Grande Parks in Aspen, Colorado.

4. That the undersigned hereby assumes all risks of damage or injury resulting from participation in the 38 m
Annual Aspen Ruggerfest Tournament.

5. That he/she agrees to waive any claim for damage, injury, or death arising out of this participation in 38 ih
Annual Aspen Ruggerfest Tournament against the United States of America Rugby Football Union
(USARFU), The Western Rugby Union, The Eastern Rockies Rugby Union, the members of the Aspen
Rugby Tournament Organizing Committee, and the Gentlemen of Aspen Rugby Club, its officers,
directors, members, and assigns, and all tournament participants, sponsors, supporters and spectators.

6. That he/she agrees to indemnify the USARFU, The Western Rugby Union, The Eastern Rockies Rugby Union, the
members of the Aspen Rugby Tournament Organizing Committee, and the Gentlemen of
Aspen Rugby Club, its officers, directors, members, and assigns, and all tournament participants,
sponsors, supporters and spectators, from any and all claims for damage or injury arising from his/her
participation in the 38 »h Annual Aspen Ruggerfest Tournament.

7. That the undersigned's signature on this document also indicates that he/she is completely
knowledgeable concerning the Medical and Liability Insurance requirements of participants in USARFU
events and will comply with those requirements. Further that he/she understands that the minimum of
$100,000 in medical insurance coverage is mandated to protect himself and the Gentlemen of Aspen
Rugby Club and all of its officers, directors, members, and assigns, associated with the 38 th Annual
Aspen Ruggerfest Tournament.

8. That his/her signature on the following page indicates that he does in fact have insurance coverage to
meet this minimum $100,000 medical insurance requirement.

9. That this waiver of liability also applies to any damages incurred to personal property while attending or
participating in the 38th Annual Aspen Ruggerfest Tournament.

10. That the undersigned agrees to avoid damaging property of the City of Aspen Parks and Recreation Department
except that normal damage which could be expected as a result of said
Tournament, e.g. wearing down the turf.

11. That this waiver shall be binding upon the undersigned, his representatives, heirs and assigns forever.
* Any club having a player who has NOT signed this document risks ejection from the tournament.

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