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T-Shirt Size   S-M-L-XL-XXL-XXXL

Entry Fee $15
On site facility fees - bowling is $6.75

After winning 5 medals, a donation of $3 per medal is requested.

WAIVER STATEMENT
In consideration for being allowed to participate in any way in the Quad Cities Senior Olympics athletic/sports program, related events and activities, __________________________, the undersigned acknowledges, appreciates and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist and,
2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases of others, and assume full responsibility for my participation and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation, If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately and,
4. I, or myself and on behalf of my heirs, assignees, personal representatives, and next of kin, hereby release and hold harmless Quad Cities Senior Olympics, Inc., their officers, agents, and/or employees, other participants, sponsoring agencies, sponsors, and advertisers, and if applicable, owners, and lessees of premises  used to conduct the event (“Releases”), with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releases or otherwise.

I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.