NERO® Medical Release Form
(Print & Complete)
The Live Adventures Company
NERO® International Holding Co., Inc.
P.O. Box 543
Rye NY 10580-0543
(914) 309-7718
www.NeroLarp.com
I, the undersigned, understand that NERO® International Holding Co., Inc, and
its affiliates, have taken reasonable steps to minimize all risks to NERO® event
participants, but are unable to completely guarantee that no injury will come to
me.
I understand that there is always the possibility of a slip on rough ground, a
fall over obstacles in the darkness, or the occurrence of some other
unforeseeable accident. Further, since I may also be participating in mock
battles using padded weapons and magical spells, there is a risk of injury from
other participants.
I understand the risks involved in participating in the events sponsored by
NERO®. I shall make no claim of any description against the organization, its
members or its officers, or any company doing business with the organization for
any loss or damages suffered in the course of participating.
I confirm that I am in good physical health and do not suffer from any physical
disabilities that would inhibit my ability to play or place me in jeopardy. I
understand that NERO® will do its utmost to understand and work with the needs
of disabled individuals and that it is not mandatory for me to engage in mock
‘combat’ if I do not desire it by wearing a ‘page’ headband.
I understand that failure to abide by this agreement, the Policies or the Rules
of NERO® could result in my expulsion from the organization, as well as in
extreme legal action.
__________________________
NERO® Member Name (Printed)
_________________________________
NERO® Member Name (Signature)
_________________________________
Today’s Date
Emergency Contact Information
Name of Primary Person to Contact: _________________________________
Telephone Number: _________________________________
Name of Secondary Contact: _________________________________
Telephone of Secondary Contact: _________________________________
