Acknowledgment of
Insurance Responsibility and Waiver Agreement
_______________________________________________________________
Club Name:
I am a member/guest and intend to participate in the above named clubs tournament.
I acknowledge that the Sun City Grand Community Association Insurance Policy does not cover any
damages to personal property or injuries to myself when participating in an activity on Sun City Grand Property.
Further, I accept responsibility for any personal injury that may result in participation in these activities.
Signature of member/guest__________________________________________Date___________
SCG Community Assoc. Representative_______________________________________