Adaptively Abled Amputees, INC.
INSURANCE WAIVER & RELEASE OF LIABILITY
and MEDIA RELEASE FORM
MEDIA RELEASE FORM MEDIA/PHOTO WAIVER:
I hereby authorize and give my full consent to Adaptively Abled Amputees, Inc. and their collaborators/sponsors to copyright and/or publish any photographs, digital recordings, videotapes, and/or film in which I appear while attending this Adaptively Abled Amputees, Inc. event. I further agree that Adaptively Abled Amputees, Inc. may transfer, use, or cause to be used, these digital recordings, photographs, videotapes, or films for any exhibitions, public displays, publications, commercials, art and advertising purposes, television programs, and internet without limitations or reservations.
PARTICIPANT
In consideration of being allowed to participate in any way in Adaptively Abled Amputees, Inc., (Adaptively Abled Amputees), programs, related events, and activities, I and/or the minor participant, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, the undersigned:
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1. Agree that prior to participating, I will inspect, or if a parent and/or legal guardian, I will instruct the minor participant to inspect, the facilities and equipment to be used, and if I believe, to the best of my ability, that anything is unsafe, I and/or the minor participant will immediately advise Adaptively Abled Amputees, Inc. of such condition(s) and refuse to participate.
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2. Acknowledge and fully understand that I and/or the minor participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result only from my own actions, inactions or negligence of others, the rules of play, the condition of the premises, weather conditions, or any equipment used. Further, there may be other risks not known to me or not reasonably foreseeable at this time.
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3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability, or death.
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4. Release, waive, discharge and covenant not to sue Adaptively Abled Amputees, Inc. and its affiliated clubs, their representative administrators, directors, agents, coaches, other employees, and volunteers of the organization, other participants, sponsoring agencies, sponsors, advertisers, their heirs, and, if applicable, owners and lessors of premises used to conduct the event, all of which are hereafter referred to as “releasees” from demands, losses on account of injury, including death, property damage, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise.
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VOLUNTEER
In consideration of being allowed to volunteer in any way in Adaptively Abled Amputees, Inc., (Adaptively Abled Amputees), programs, related events, and activities, I and/or the minor participant, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, the undersigned:
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1. This agreement begins 4/4/24 and will continue indefinitely until terminated. Either party may terminate this agreement at any time for any reason upon immediate notice, oral or written, to the other party.
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2. The Volunteer agrees to follow the directions of the staff and to abide by all applicable policies and procedures while carrying out these volunteer services.
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3. The Volunteer is not an employee of (AAA) and is not entitled to receive a salary, benefits, or other compensation. The Volunteer understands that he/she does not qualify for worker’s compensation benefits and is expected to carry personal medical insurance to cover medical expenses for any injuries he/she incurs while performing volunteer services.
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4. I, the Volunteer waive, release, and hold harmless (AAA), Yoga Sakti, their directors, officers, employees, agents, and other volunteers from any and all claims, causes of action, and damages for bodily injury or death that I may suffer as a result of, or in any manner connected with the Adaptively Abled Amputees program. I understand that this waiver and release precludes my right to recovery of damages in the event I am injured in the course of performing my volunteer duties.
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5. Volunteer shall defend, hold harmless, and indemnify (AAA), Yoga Sakti, their directors, officers, employees, agents, and other volunteers, from and against all damages, claims, liabilities, causes of action, judgments, settlements, costs and expenses (including reasonable expert witness and attorney fees) that may at any time arise or be claimed by any person as a result of bodily injury, death or property damage, or as a result of any other claim or cause of action of any nature whatsoever, arising from or in any manner connected with, directly or indirectly, the negligent or intentional acts or omissions of Volunteer in performing duties related to the Adaptively Abled Amputees program.
I have read, fully understand, and agree to the assumption of risk, waiver, release, hold harmless, and indemnification terms set forth above.
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I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE NOT CHANGED IT ORALLY, AND SIGN IT VOLUNTARILY.