Campaign for Fiscal
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PARTICIPANT RELEASE AND WAIVER -
Campaign for Fiscal Equity and Alliance for Quality Education Walk a Mile
for Your Child
1.
I understand that my execution of this Waiver is a prerequisite for my
participation and/or the participation
of the child(ren) _____________________________________________________
of whom I am the parent
or guardian ('my child"), in the Campaign for Fiscal Equity and Alliance
for Quality Education Walk a Mile for Your Child to be held May 1, 2003
- May 8, 2003 ("the Event"). I understand that this Event consists
of a walk of between 1.0 and 150 miles over seven days and I further understand
that there are risks and dangers, including possible death, inherent in
participating in the Event.
2. I understand that in order to be allowed to participate in the Event, I agree to assume all risks and to release and hold harmless Campaign for Fiscal Equity, Inc., and the Alliance for Quality Education , and its past and present affiliates, assigns, successors in interest, agents, servants, employees, volunteers, officers, directors and sponsors, and all government and public entities including, but not limited to, the State, County and local municipalities where the events take place (collectively the "Released Parties").
3. I understand and agree that this release will have the effect of releasing, discharging, waiving, and forever relinquishing any and all actions or causes of action that I and/or my child may have, whether past, present or future, whether known or unknown, arising from, resulting from, or in connection to the Event. This release constitutes a complete release, discharge and waiver of any and all actions or causes of action that I and/or my child may have against the Released Parties, including but not limited to any claims for personal injury, property damage, or wrongful death and including but not limited to any injuries resulting from negligent actions or omissions. I understand and agree that this release will be binding on my heirs, my personal representatives, and my assigns.
4. I understand that I am solely responsible for the health and safety of myself and/or my child, and I affirm that I am, and/or my child is, physically capable of participating in this Event. Additionally, I understand that it is my responsibility to consult with a physician prior to participating in the Event to determine whether my and/or my child's participation in the Event could endanger me and/or my child.
5. I will abide by all Event and traffic rules and/or I understand that I am responsible for ensuring that my child will do so.
6. In exchange for the opportunity to participate in the Event, I irrevocably authorize the Campaign for Fiscal Equity, Inc. and the Alliance for Quality Education, and its affiliates, licensees, assignees, successors in interest, agents, and sponsors, to photograph and/or interview me and/or my child and to use such photographs and interviews, as well as my name and/or the name of my child, in any of its promotional materials, worldwide in perpetuity in all forms of media now and forever known. I voluntarily waive any right, cause of action, or demand of any kind that I and/or my child might have resulting from the use of such photographs and/or interviews.
7. I also understand that neither I nor my child will receive any additional compensation for the use of my and/or my child's photograph and/or interview in promotional materials. Thus, by signing this document, I waive any rights to any compensation now or in the future.
8. Should any portion of this Waiver be judicially determined invalid, voidable or unenforceable, for any reason, such portion of this Waiver shall be severable from the remaining portions herein and the invalidity, voidability, or unenforceability thereof shall not affect the validity, effect, enforceability, or interpretation of the remaining provisions of this Waiver. I have carefully read this Waiver and fully understand its contents. I am aware that this is a release of liability and I sign of my own free will.
Print name Print minor child's/children's name(s) (if applicable)
Signature Date