The Society for Creative Anachronism, Inc. WAVER AND INFORMED CONSENT TO PARTICIPATE IN SCA COMBAT RELATED ACTIVITIES I. _____________________________ [ type or print legal name ] of __________________________________________ [ type or print address ] having read and understood the contents of this document, agree and consent to the provisions contained herein. It is my intention and desire to participate in SCA combat related activities ( such as armored combat, period fencing, marshalling, combat archery, scouting and banner bearing ) at events held by the Society for Creative Anachronism, Incorporated. I hereby acknowledge that I am fully aware of the nature and purpose of the activities of the Society for Creative Anachronism, Incorporated. I acknowledge that these activities are potentially dangerous and that I voluntarilly accept any risk involved. In considerationof my being permitted to take part in these activities, I agree to be bound by the rules of the Society for Creative Anachronism,Incorporated, and to abey the directions of the marshals and other governing officials of these activities. In the event of any disagreements or disputes arising from my taking part in these activities, I agree to submit such disagreements or disputes to a board of arbitration appointed by the Society for Creative Anachronism, Incorporated, and to abide by any decisions reached by such board. I agree to release, hold harmless and keep indemnified the Society for Creative Anachronism, Incorporated,its organizers and agents, officials, servants and representatives from and against all claims, actions, cost, expenses and demands in respect to death, injury, loss or damage to my person or property, howsoever caused,arising out of or in connection with my taking part in these events even if the same may have been contributed to or occasioned by the negligence of the said body or any of its agents, officals, servents or representatives. It is understood and agree that this agreement is to be binding on myself, my heirs, executors and assigns. SIGNATURE: ________________________________________ DATE:____________________ SCA NAME (type or print) _____________________________________________________ ___________________________________ ___________________________________ ( witness ) ( witness ) This waiver MUST be signed, dated and witnessed for you to recieve an Authorization Card for field activities. Present it to the authorizing marshal along with an Authorization for SCA combat related activities form at the time of your initial authorization. This waiver need not be re-executed if you are authorized for additional field activities. However, it must be re-executed if your authorization card expires, and a new waiver filed with the proper office. THIS WAIVER ALONE DOES NOT AUTHORIZE YOU TO PARTICIPATE IN SCA COMBAT- RELATED ACTIVITIES. YOU MUST COMPLETE THE AUTHORIZATION PROCEDURE, AS OUTLINED IN KINGDOM MARSHALATE RULES. PLEASE PRINT (MUNDANE) NAME: __________________________________________________. ADDRESS: __________________________________________________ __________________________________________________. PHONE: __________________________________________________.