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1.   Participation Agreement

 

I have chosen to participate in the 2014 Twelfth Street Food Pantry Roll and Stroll and any activities leading up to the 2014 Roll and Stroll collectively hereafter referred to as the "Event".  During the Event, paticipating minors under 18 years of age, must have a signed parental consent form on file and be accompanied by a parent or legal guardian who is also registered.  If I am registering as a crew member, I will be at least 14 years old on the day of the Event. 


I understand that all donations made in connection with the 2014 Roll and Stroll are non-refundable and non-transferable, even if I do not participate in the 2014 Roll and Stroll.  I also understand that the registration fee is non-refundable and non-transferable. The Twelfth Street Food Pantry is a 501(c)(3) charitable organization.  All donations are tax deductible to the extent allowed by the law.  

WAIVER AND RELEASE OF LIABILITY (Please read carefully and sign below) 

I agree that any and all representations made and releases, waivers, covenants, consents and permissions given by me hereunder are given on behalf of me and any and all of my minor children or persons over whom I have guardianship participating in or attending the Event.

WAIVER AND RELEASE OF LIABILITY

I understand that the Event is a potentially hazardous activity, and I hereby voluntarily assume full and complete responsibility for, and the risk of, any injury or accident that may occur during my participation in the Event or while on Event premises (collectively referred to herein as "my participation").

I understand that during my participation, I will be using public streets and facilities where many hazards exist, and I am aware of and appreciate the risks that may result.  I am also aware that accidents may occur during my participation that could result in serious injury or death. My participation is voluntary with knowledge of all such risks.

In consideration for being permitted to participate in the Event, I for myself and my next of kin, heirs, administrators, and executors (collectively "my releasors") hereby agree to assume all risks and to release, hold harmless and covenant not to sue Event, 2014 Roll and Stroll, Twelfth Street Food Pantry, or any sponsors, officials, volunteers participating clubs, communities, organizations, friends of the2014 Roll and Stroll and all other government or public entities, and affiliated organizations and all of the above-listed entities' respective directors, officers, agents, employees and members, and all other persons or entities associated with the Event (collectively, "the releasees"), for any claim, loss or liability that I or my releasors may have arising out of my participation or any fundraising activities associated with my participation, including, but not limited to, personal injury, death or property damage suffered by me or others, whether such losses, liabilities, or claims be caused by falls, contact with and/or the actions of other participants, contact with fixed or non-fixed objects, contact with animals, conditions of the Event premises, negligence or carelessness of the releasees, risks not known to me or not reasonably foreseeable at this time, or otherwise.

I, on behalf of myself and my releasors, intend by this Waiver and Release of Liability to release in advance, and to waive my rights and to discharge all of the releasees from all claims, losses or liabilities I or my releasors might suffer in connection with my participation, or which may hereafter accrue to me or my leasors (including, but not limited to, claims, losses or liabilities for death, bodily injury or property damage) even though that liability may arise from negligence or carelessness on the part of the releasees, from dangerous or defective property or equipment owned, maintained or controlled by them or because of their possible liability without fault.  I understand and agree that this Waiver and Release of Liability is binding on my releasors, assigns and legal representatives.

I am physically capable of completing the Event.  I understand that it is recommended that I discuss my participation with my primary health care provider.  If I am aware of or under treatment for any physical infirmity, ailment or illness, I have discussed the Event and my participation with my medical care provider(s) familiar with such condition and he/she has approved my participation.   I will maintain personal health insurance at all times during my participation.  I understand that Twelfth Street Food Pantry does not have medical insurance that will cover me in the case of injury.  I acknowledge that I, and I alone, am solely responsible for my personal health and safety, and the personal property I bring with me in connection with my participation.  I will read the Event description and rules for my participation and I will abide by all rules and regulations established by the Event organizers and personnel as well as the local vehicle code.  I further agree that my participation is subject to the sole discretion of the Event organizers and that my participation may be limited for medical or other safety-related reasons. In the event of injury, accident or illness during my participation, I consent to receive, and authorize Event organizers, officials, volunteers, participants and spectators to use their discretion to administer first aid, medical care and/or medical treatment.

I understand that I am solely responsible and liable for all aspects of the fundraising activities associated with my participation in the Event, including, but not limited to, the safe and lawful conduct of any fundraising acitivities and ensuring that such activities are conducted in a professional manner.  I further agree to (i) comply with all laws relating to the promotion and conduct of any fundraising activities associated with my participation; (ii) file all appropriate registrations as may be required or necessary for promoting and conducting any fundraising activities associated with my participation; and (iii) obtain all permits, releases, consents, licenses, and approval as may be required or necessary for promoting and conducting any fundraising acitivies associated with participation.  

If I am a Crew member, I understand that the Event consists of a variety of activities to prepare for and support the 2014 Roll and Stroll.  These activities include working outdoors and may include lifting of objects up to 70 lbs.

In consideration of being permitted to participate in the Event, I hereby agree to adhere to the policies of the 2014 Roll and Stroll, including without limitation the 2014 Roll and Stroll fundraising policies.  I understand that the Event organizers reserve the right, in their sole discretion, to refuse registration and/or participation to anyone at any time before or during the Event.

A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR.

In the event any provision of the Waiver and Release of Liability is deemed unenforceable by the law, (i) Twelfth Street Food Pantry shall have the right to modify such provision to the extent necessary to be deemed enforceable, and (ii) all other provisions of the Waiver and Release of Liability shall remain in full force and effect.

 

IMAGE RELEASE

 

I understand that my name, picture, voice, or likeness, and information related to my participation in the Event, whether the foregoing is captured by photograph, videotape, audiotape or any other recording, (collectively “image”) may be used for all promotional purposes related to the Event by 2014 Roll and Stroll, Twelfth Street Food Pantry, and their respective successors and assigns, sponsors, licensees, affiliates, and employees (collectively “grantees”).  I hereby grant to the grantees the irrevocable, perpetual and worldwide right to (1) use my image in promotional materials or for any other legitimate purpose, (2) create composite or computer-manipulated materials from my image, (3) use, reproduce, publish, exhibit, distribute, and transmit my image in any media, including but not limited to print material, television, film, internet, DVD, and CD-ROM, and (4) assign the above rights to third parties.  I waive the right to inspect or approve my image or materials that incorporate my image.   I understand that I will receive no compensation in connection with the use of my image.  I release the grantees from any liability, damages, or claims resulting from the use of my image, including but not limited to, claims for libel or invasion of privacy.  I understand and agree that the terms of this paragraph are binding on my releasors, assigns, and legal representatives.

 

In the event any provision of the Waiver and Release of Liability and Image Release is deemed unenforceable by the law, (i) Twelfth Street Food Pantry shall have the right to modify such provision to the extent necessary to be deemed enforceable, and (ii) all other provisions of the Waiver and Release of Liability and Image Release shall remain in full force and effect.



I have carefully read this Waiver and Release of Liability and Image Release, fully understand its contents and agree to all statements of understanding set forth above.  I hereby represent and warrant that all information that I supply in connection with my participation including, but not limited to, in this Waiver and Release of Liability and Image Release, is accurate and truthful and understand that the 2014 Roll and Stroll is relying upon this Waiver and Release of Liability and Image Release  and the representations made herein as a condition of my participation.  I am aware that by signing this Waiver and Release of Liability and Image Release, I am waiving substantial legal rights, and knowing this, I sign of my own free will without any inducement, assurance or guarantee being made to me and intend my signature to be complete and unconditional release of liability to the greatest extent allowed by law. 

 

 

I agree to the terms and conditions above 

 

 

 

 

 

  

                          2014 Roll and Stroll

 

 

 

                                

 

 

 

Mail in your registration and pay by check.  (Please do not send cash).  Click here for                            .

Continue your PayPal or credit card registration here. 

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