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Dairyland Sports
P.O. Box 45736
Madison, WI 53744

Dairyland Sports is a 501(c)3 non-profit organization. Founded in 2017, Dairyland Sports aims to engage and empower individuals with physical disabilities to improve their health and well-being through participation in sport, fitness, & recreation.

EIN: 82-3718737

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Team Dairyland Membership

The Dairyland Athlete Membership ($295) provides exclusive access to a variety of events and programs, including free registration for the Dairyland Games, Fitness Foundations, Track & Field, Wheelchair & Adaptive Tennis, and more. Members also enjoy discounted apparel, free coaching at Dairyland Games & Move United Nationals, and additional perks.

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info@dairylandsports.org

P.O. Box 45736
Madison, WI 53744

I and/or my child voluntarily assume all risks of loss, damage, injury, or death that may be sustained while participating in Dairyland Sports programming. I and/or my child attest and verify that I am physically fit, as determined by licensed medical provider, to participate in physical activity and sports, and acknowledge that I am aware of the inherent risks in participating in any physical activity and sports. In case of illness or accident, I grant permission for medical treatment to be administered by on-site medical staff as designated by Dairyland Sports. I and/or my child understand and agree that medical or other services rendered to me and/or my child by, or at the instance of, any of the persons or entities mentioned above is not an admission of liability to provide or continue to provide any such services and is not a waiver by any of the persons or entities mentioned above of any right hereunder.

I and/or my child further understand that serious accidents occasionally occur during physical activity and sport, and participants in such events occasionally sustain personal injury and/or property damages as consequences thereof. Knowing of such inherent risks, I and/or my child nevertheless hereby agree to assume those risks and to release all of the persons and entities mentioned above, who through negligence, carelessness or otherwise, might be liable to me and/or my child. I agree to accept and abide by the rules and regulations set forth by Dairyland Sports, and to obey the directions of the designated officials for my own safety and the safety of others.

I understand and agree that such photographs, video recordings, or other Likeness may be placed on the Internet and social media platforms. I also understand and agree that I may be identified by name and/or title in printed, Internet, or broadcast information that might accompany the photographs and/or video recordings of me. I waive the right to approve the final product and agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof are and shall remain the property of Dairyland Sports.

I hereby release, acquit, and forever discharge Dairyland Sports and its current and former trustees, agents, officers, directors, and employees from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of my Likeness, including but not limited to any claims for invasion of privacy, appropriation of Likeness or defamation.

I warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if less than eighteen years old, that my legal guardian has signed this release form. This release is binding on me and my heirs, assigns, and personal representatives.

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