Loading...

PACIFIC OUTFITTES GREEN TEAM, DBA PACOUT GREEN TEAM, ACKNOWLEDGEMENT OF RISKS, RELEASE, WAIVER OF LIABILITY, INDEMNITY AGREEMENT & PHOTO RELEASE

IMPORTANT – READ BEFORE SIGNING!

“CLEANUP ORGANIZERS” INCLUDES: PACIFIC OUTFITTERS GREEN TEAM, DBA PACOUT GREEN TEAM, AND ANY OTHER ORGANIZATION, CITY, COUNTY, ENTITY THAT IS IN COLABORIATION WITH PACOUT GREEN TEAM TO FACILITATE ANY CLEANUPS.

 

I

(Hereinafter the “Releasor”)

 

In consideration of being allowed to participate in any way in the program, related events and activities, I the undersigned, acknowledge, appreciate, and agree that under the terms of this Agreement and sufficiency of which is hereby acknowledged, do hereby release and forever discharge PACIFIC OUTFITTERS GREEN TEAM and “CLEANUP ORGANIZAERS” (Hereinafter the “Releasee”) including their agents, volunteers, employees, successors and assigns, and their respective heirs, personal representatives, affiliates, successors and assigns, and any and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, none of whom admit any liability to the undersigned, but all expressly denying liability, from any and all claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, which I now have or may hereafter have, arising out of or in any way relating to any and all injuries and damages of any and every kind, to both person and property, and also any and all injuries and damages that may develop in the future, as a result of or in any way relating to the following:

 

1) It is understood and agreed that this Agreement is made and received in full and complete settlement and satisfaction the causes of action, claims and demands mentioned herein; that this Release contains the entire Agreement between the parties; and that the terms of this Agreement are contractual and not merely a recital. Furthermore, this Release shall be binding upon the undersigned, and his respective heirs, executors, administrators, personal representatives, successors and assigns. This Release shall be subject to and governed by the laws of the State of CALIFORNIA.

I Agree

2) I hereby grant permission to PACOUT GREEN TEAM and “CLEANUP ORGANIZERS” employees, volunteers, agents and other guests to take photographs and make film records of the event without further recourse. I understand and agree that such photographs and/or film records may be used for commercial and/or promotional purposes.

I Agree

This Release has been read and fully understood by the undersigned and has been explained to me.

I Agree

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

I Agree

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
How did you hear about us?
Click to customize pull down*
Where are you from?
Click to customize pull down*
Did you know that when you hit 10 or more cleanups we give you your own PacOut Green Team cleanup safety vest and award you with "milestone" patches for attending 10, 25, 50, 75, 100+ cleanups?
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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!