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Waiver/Release Agreement

I wish to participate in an event organized by the Real Dog Moms of Chicago. In consideration for permitting my participation in the Event, I agree to the terms of this Release Agreement.

I acknowledge that by signing this Release Agreement, I am releasing the Real Dog Moms of Chicago, and any other sponsoring or organizing parties or facilities, including, but not limited to, the City of Chicago, property owners, law enforcement agencies, or public entities associated with the Event, and their respective agents, directors, officials, and employees (“Released Parties”), from any and all liability for any acts, omissions or occurrences which may result, directly or indirectly, in injury or illness to myself, my pet, my family members, any minors attending the Event under my supervision, or my personal property, as a result of my participation in or association with the Event, including travel to and from the Event, and I hereby agree to waive, release and forever discharge, on behalf of myself and my heirs, executors, administrators, legal representatives, assignees, and successors in interest, any and all claims for damages, rights or causes of actions which I any have, or which may hereafter accrue, against the Released Parties, including any claims arising from the Released Parties’ own negligence.

I further agree to indemnify and hold harmless the Released Parties from any claims, rights or causes of action which may accrue to any individual or entity participating in, involved with or present at the Event as a result, directly or indirectly, of my own acts or omissions, or the acts or omissions of my pet, during my participation in or association with the Event, including travel to and from the Event, and that I shall indemnify the Released Parties for any damages awarded or expenses incurred as a result of any such claims, rights or causes of action, including , but not limited to, attorney fees and court costs. I affirm that my pet has been vaccinated for rabies, that it is not known to be vicious, and that it is free of any disease or condition which would make it a danger to any participant, spectator, other individual or dog. I accept all liability for damage to property or persons caused by myself, family members, other minors under my supervision, or my pet.

I understand that this Release Agreement is a contract which has legal consequences and I state that I have read all of its terms, fully understand them and am legally competent to execute this Release Agreement. This Release Agreement may not be modified orally, and a waiver of any provision shall not be construed as a modification of any other provision herein or as consent to any subsequent waiver of modification.

I hereby grant the Real Dog Moms of Chicago permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

This Release Agreement is executed on the date written below by the undersigned for themselves and/or lawful parent or guardian of a minor. I understand and agree to all the terms in the Release Agreement and Assumption of Risk.

Dated: November 14, 2019

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Pet Details

Pet's Name(s)

Breed(s)
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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