UPLIFT YOGA FOUNDATION UPLIFT X FRIENDLY FUTURES EVENT 2023 DECEMBER 9TH, 2023 7982 LA JOLLA SCENIC DR. N., LA JOLLA, CA, 92037
SECTION 1: I hereby certify that I am the adult, parent, or guardian of a minor child, under the age of eighteen years, and I consent to his/her participation in the UPLIFT Event. I recognize that the participation of said minor child occurs on a voluntary basis, and that certain risks are assumed by voluntary participation in this UPLIFT Event and/or activities associated with the UPLIFT Event. I understand and acknowledge that I am fully aware of and assume the risks (including but not limited to the risk of serious bodily injury, property loss or damage, or death) of the participation of said minor child in the UPLIFT Event and/or activities associated with the UPLIFT Event. I recognize my responsibility to ensure that said minor child participates only in those activities for which he/she has the required skills, qualifications, training and physical conditioning. I understand that it is my responsibility to consult with a physician before authorizing the participation of said minor child in any physical exercise or other activity. Knowing the risks described above, I agree, personally and on behalf of the minor child named above, to assume all the risks and responsibilities surrounding the participation of said minor child in the UPLIFT Event and/or activities associated with the UPLIFT Event. To the fullest extent allowed by law, I hold harmless and agree to indemnify UPLIFT Yoga Foundation, its officers, directors, faculty, staff, volunteers, employees and agents, from and against any present or future claim, cause of action, loss or liability for injury to person or property, which said minor child may suffer or for which said minor child may be liable to any other person, related to the participation of said minor child in the UPLIFT Event and/or activities associated with the UPLIFT Event, resulting from any cause whatsoever, and regardless of fault. SECTION 2: I grant my permission to the Released Party and any transferee or licensee or any of them, to utilize any photographs, motion pictures, videotapes, recordings and other references or records of the UPLIFT Event which may depict, record or refer to me for any purpose (“images”), including commercial use by the released parties, their sponsors and their licensees. This permission is for use anywhere in the world and on the Internet and for an unlimited period of time. I understand and agree that I will not be compensated or receive additional consideration for consenting to the use of Images and that I will not be given a chance to receive, inspect or approve the promotional or marketing material, messages and/or content that may use the images. I hereby release the Released Party including, without limitation, all persons who took or otherwise created, recorded or modified the Images, from any and all claims, actions, damages, interest, costs, expense and compensation of whatsoever kind of howsoever arising, whether known or unknown, and which I now have or at any time hereafter can, I shall or may have in connection with, or in any way resulting or arising from, the Images and the creation, use or disposition of them. I acknowledge and agree that the Released Party shall own all right, title and interest, throughout the world in and to the Images and any materials compromising all or any part of the images, and that the Released Party has the unrestricted right to use, license, sell, transfer or otherwise dispose of any or all of them, as well as the Released Party’s rights under the Release and Waiver, in any manner whatsoever and without any accountability to me. I hereby assign to the Released Party all right, title and interest, I may have, throughout the world, in and to the Images and any materials compromising all or any part of the Images, including all intellectual property rights thereto. I hereby irrevocably waive any and all of my moral rights and any other irrevocable rights I may have, throughout the world, in or to the images and any materials compromising all or part of the images. SECTION 3: NOTE: There will be a section below wherein you must report any and all relevant medical conditions or needs of the minor child. I fully acknowledge and am aware of the risks associated with the participation of the minor child named below in the UPLIFT Event and/or activities associated with the UPLIFT Event, including serious bodily injury or death. As stated above, I accept and assume all risks and responsibilities associated with said minor child’s participation in the UPLIFT Event and/or activities associated with the UPLIFT Event. I hold harmless and agree to indemnify UPLIFT Yoga Foundation, its officers, directors, faculty, staff, volunteers, employees and agents, from any liability for injury to said minor child resulting from participation in the UPLIFT Event and/or associated activities, resulting from any cause whatsoever, regardless of fault. In the case of any injury or medical condition caused by or associated with said minor child’s participation in the UPLIFT Event and/or activities associated with the UPLIFT Event, including but not limited to bodily injury, the contraction of illness or disease, and the development of minor or major chronic conditions, I hereby accept and assume responsibility for associated costs. I hereby release UPLIFT Yoga Foundation, its officers, directors, faculty, staff, volunteers, employees and agents, from any costs associated to such injury or medical condition. I hereby state that in the below provided space I have reported, informed, and notified UPLIFT Yoga Foundation of any medical conditions affecting the minor child stated above which may impact his/her participation in the UPLIFT Event and/or associated activities. I consent to the provision of medical care associated with those conditions by UPLIFT Yoga Foundation, its officers, directors, faculty, staff, volunteers, employees and agents. In case I am unable to sign or give verbal consent, I give permission to UPLIFT Yoga Foundation, its officers, directors, faculty, staff, volunteers, employees and agents, to render first aid and to obtain medical assistance for my minor in the event of emergency. I acknowledge and am aware that the provision of medical care, emergency or otherwise, to said minor child by UPLIFT Yoga Foundation involves some risk, and I agree to accept and assume all risks and costs associated with the provision of medical assistance or care. I hold harmless and agree to indemnify UPLIFT Yoga Foundation, its officers, directors, faculty, staff, volunteers, employees and agents, from any liability for injury to said minor child resulting from the provision of medical assistance or care. SECTION 4: By signing below, I state that I have read and understood the above agreement in its entirety. I accept and agree with all provisions and stipulations listed above and below in each Section, including the responsibilities conferred to me and the liabilities waived to UPLIFT Yoga Foundation.
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