I, the undersigned, and my parent or legal guardian (if I am under eighteen (18) years of age), do hereby understand, acknowledge, and agree that from this date forward I may knowingly and willingly participate in a Medieval Recreational Society, known in part as Amtgard, Inc., that may require some strenuous physical activity which may include physical contact with others and/or their equipment being employed during said activity. 

I recognize and accept that such activity may pose risk of injury to myself and others.

I am in good health to the best of my knowledge, and I am readily

able to make personal judgments as to my own physical limitations.

I, and my parent or legal guardian (if I am under eighteen (18)

years of age) hereby agree to indemnify and hold harmless the owner and

management of any premises upon which these activities will be conducted,

to specifically include, but not limited to:

Wolven Fang, Sudbury Ontario

Amtgard, Inc., and any of it's associated/elected officers; and all

other participants who are parties to this or a similar agreement, from

any claim for injury or damages resulting from participation herein.

Note that all participants must be over the age of fourteen (14) to

participate in the "Combative" portions of Amtgard activities.

Signed:______________________________ Date:___________________

Name: (Please Print):                                                                                       

Address:                                                                                                          

Telephone:                                  E-mail:                                               

Date of Birth:                                       

Signature of Parent or Legal Guardian (If participant is under 18 years of age).