Hibernian Rugby Football Club

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Hibernian Mens Rugby Football Club Application

CLUB DUES   

 MONEYS COLLECTED WILL BE USED TO PAY THE FOLLOWING: TEAM & PLAYER CIPP FEES, EPRU TEAM DUES, REFEREE FEES, JERSEYS AND ALL OTHER REQUIRED TEAM EQUIPMENT.


RELEASE OF ALL CLAIMS:

WHEREAS YOU ARE THE RELEASER OF THE NAMED BELOW AND IT IS THE WISH OF THE SAID RELEASER, THAT HE RUGBY UNDER THE AUSPICES AND CONTROL OF THE HIBERNIAN RUGBY FOOTBALL CLUB, THE EASTERN PENNSYLVANIA RUGBY UNION, THE MID-ATLANTIC RUGBY FOOTBALL UNION AND THE USARFU ITS REPRESENTATIVES, OFFICERS, SUCCESSORS AND ASSIGNS.

 NOW THEREFORE, THE RELEASER INTENDING TO BE LEGALLY BOUND DO HEREBY COVENANT AS FOLLOWS:

  1. 1.      I DO HEREBY RELEASE AND FOREVER DISCHARGE THE HIBERNIAN RUGBY FOOTBALL CLUB, THE EASTERN PENNSYLVANIA RUGBY UNION, THE MID-ATLANTIC RUGBY FOOTBALL UNION AND THE USARFU, ITS REPRESENTATIVES, OFFICERS, SUCCESSORS AND ASSIGNS, OF AND FROM, ANY AND ALL LIABILITY, ACTIONS, CAUSES OF ACTIONS, CLAIMS, DAMAGES, COSTS AND COMPENSATION, ON ACCOUNT OF, OR IN ANY WAY GROWING OUT OF, INJURIES CLAIMED TO HAVE BEEN RECEIVED BY THE BELOW NAMED, BY REASON OF, OR IN CONNECTION WITH HIBERNIAN RUGBY.
  2. 2.      I DO HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS THE HIBERNIAN RUGBY FOOTBALL CLUB, THE EASTERN PENNSYLVANIA RUGBY UNION, THE MID-ATLANTIC RUGBY FOOTBALL UNION AND THE USARFU, ITS REPRESENTATIVES, OFFICERS, SUCCESSORS AND ASSIGNS FROM ANY CLAIMS ENUMERATED IN PARAGRAPH NUMBERED 1 ABOVE.
  3. 3.      I LIKEWISE RELEASE FROM ALL RESPONSIBILITY, ANY PERSON TRANSPORTING THE BELOW NAMED TO AND FROM THIS ACTIVITY.
  4. 4.      I FURTHER STATE I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND THAT I SIGN THE SAME AS MY OWN FREE ACT AND DEED.
  5. 5.   PLEASE MAKE A COPY, FOR YOUR OWN RECORDS.
  6. 6.   BY SUBMITTING THIS FORM YOU HEREBY AGREE TO ALL TERMS STATED ABOVE.
 
Thank you applying to the Hibernian Rugby Football Club.
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