BELEGARTH MEDIEVAL RE-CREATION SOCIETY

Realm of Cronus, located in Portland, OR

PARENT'S WAIVER AND RELEASE

In consideration of receiving permission from Belegarth Medieval Re-Creation Society to participate as a member of the
Realm of Cronus and to participate in any activity, event, tournament, contest or meeting that the Realm of Cronus
participates, sponsors, attends, or supervises, the Undersigned releases the Realm of Cronus, Portland Parks Bureau,
the owner of any premises where any Cronus activity, event, tournament, contest or meeting occurs, and any other
member of the Realm of Cronus, individually, from any and all liability, claims, demands, actions, and causes of action,
arising out of or related to any loss, damage, or injury, including death, that may be sustained by the Undersigned's minor
child, or any property of the Undersigned or the Undersigned's minor child, while participating in any activity, event,
tournament, contest or meeting that the Realm of Cronus participates, sponsors, attends or supervises.

The Undersigned being duly aware of the risks and hazards inherent upon participating in any activity, event, tournament,
contest or meeting of the Realm of Cronus, elects voluntarily to allow Undersigned's minor child to participate, knowing
that participation requires physical contact by others to the person of the Undersigned's minor child and knowing that such
participation may become hazardous and dangerous during the time that the Undersigned voluntarily assumes all risks of
loss, damage, or injury, including death, that may be sustained by the Undersigned's minor child, or any property of the
Undersigned or Undersigned's minor child while participating in any activity, event, tournament, contest, or meeting that
the Realm of Cronus participates, sponsors, attends or supervises.

This release shall be binding upon the distributees, heirs, next of kin, executors and administrators of the Undersigned
and Undersigned's minor child.

In signing the foregoing release, the Undersigned acknowledges and represents:

1. That he or she has read the above release, understands it, and signs voluntarily on behalf of themselves and their
minor child.
2. That he or she is over 18 years of age and of sound mind and is the parent or legal guardian of the minor child named
below;
3. Undersigned represents that Undersigned,' s minor child has no physical or mental defects known to the Undersigned
and unknown to the appropriate representative of the Realm of Cronus that would endanger or harm the Undersigned's
minor child while participating in any activity, event, tournament, contest or meeting that the Realm of Cronus participates,
sponsors, attends, or supervises.

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Undersigned (Sign name here) Undersigned (Print name here)

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Name of minor child (Print)

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Address City, State, and Zip

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Phone E-Mail

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Name of person to contact in emergency Emergency phone number