PERSONAL LIABILITY WAIVER & PHOTO RELEASE FORM
EVENT NAME(S): _________________________________ HOWs or GAP Workdays
EVENT LOCATION: ________________________________
DATE(S): ______________________________________
In consideration of the undersigned’s participation in the aforementioned event and intending to be legally bound, the undersigned hereby waives, releases and forever discharges any and all rights and claims which he/she may have against the following - Surfrider Foundation, G3/the Green Gardens Group dba G3LA LLC, all landscape professionals involved, the city, county and state in which the workday takes place and their officers and employees, representatives, and affiliates - for death, injury, loss and any and all damages which may be sustained and/or suffered in connection with Surfrider Foundation, G3/the Green Gardens Group dba G3LA LLC, all landscape professionals involved, the host city, county and state's connection in the aforementioned event. The undersigned assumes full responsibility, and risk of, bodily injury, death or property loss that can occur due to participation in the aforementioned event and agrees to hold harmless all other parties.
For good consideration, the undersigned hereby releases, discharges, and acquits Surfrider Foundation, G3/the Green Gardens Group dba G3LA LLC, all landscape professionals involved, the city, county and state in which the workday takes place and their representatives from any claim or liability arising from the undersigned’s participation in the aforementioned event.
By participating in this event, I am agreeing that Surfrider Foundation, G3/Green Gardens Group dba G3LA, LLC and the event host may use photographs, videotape footage or likeness thereof for purposes of promoting their programs and that the images become the property of Surfrider Foundation.
Participant’s Signature: ____________________________________________________
Print Name: _____________________________________________________________
Date: ___________________________________________________________________
If participant is under the age of 18, a parent or guardian must sign:
Signature Parent or Guardian: _______________________________________________
Print Name: _____________________________________________________________
Date: ___________________________________________________________________
NATIONAL OFFICE – PO BOX 6010 – SAN CLEMENTE, CA 92674-6010
(949) 492-8170 – FAX (949) 492-8142 – www.surfrider.org - E-MAIL info@surfrider.org
Liability and Photo Waiver
Posted by
paul herzog
on Tuesday, February 16, 2010
Labels:
Liability and Photo Waiver
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