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Waiver of Liability

Date: December 17, 2024

This release and waiver of liability executed on the date above, in favor of Living To L.A.S.T. I, desire to join Living To L.A.S.T. for any events to be held this year, and engage in the activities related to these workshops, projects or other type of event. I, hereby freely and voluntarily, without duress, execute this Release under the following terms:

  1. Waiver and Release. I release and forever discharges and hold harmless of Living To L.A.S.T. (and potential volunteer partnering businesses, organizations, and/or consulting parties) and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise my time with Living To L.A.S.T. I understand and acknowledge that this Release discharges Living To L.A.S.T. from any liability or claim that I may have against Living To L.A.S.T. (and potential volunteer partnering businesses, organizations, and/or consulting parties) with respect of bodily injury, personal injury, illness, death, or property damage that may result from participation with the activates of Living To L.A.S.T. It is also understood that Living To L.A.S.T. does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance in the event of injury, illness, death or property damage.
  2. Insurance. I understand that I expressively waive any such claim for compensation or liability on the part of Living To L.A.S.T. (and potential volunteer partnering businesses, organizations, and/or consulting parties).
  3. Medical Treatment. I hereby release and forever discharge Living To L.A.S.T. (and potential volunteer partnering businesses, organizations, and/or consulting parties) from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during the my time with Living To L.A.S.T.
  4. Assumption of Risk. I understand that my time with Living To L.A.S.T. may include activities that may be hazardous to them including, but not limited to, construction activities, loading and unloading of heavy equipment and materials, and hard environmental conditions. I recognize and understand that my time with Living To L.A.S.T. may, in some situations, involve inherently dangerous activities. I hereby expressly assume the risk of injury or harm in these activities and release Living to L.A.S.T. (and potential volunteer partnering businesses, organizations, and/or consulting parties) from all liability for injury, illness, death or property damage resulting from the activities of my time with Living To L.A.S.T.
  5. Digital Media. I grant to Living To L.A.S.T., its staff and volunteers the right to film me and take photographs of me and my property. I authorize Living To L.A.S.T. to use and publish the same in print and/or electronically. I agree that Living To L.A.S.T. may use such photographs of me for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
  6. Safety Manual. I acknowledge that I have read and fully understand all information provided in the Living to L.A.S.T. Safety Manual. I also acknowledge that safety protocol can change over time and that it is in my best interest to revisit the safety manual periodically for updates and revisions.
  7. Other. I agree that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall no otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

To express my understanding of this Release, I sign here:

FOR THOSE UNDER AGE 18, PARENT/LEGAL GUARDIAN MUST SIGN

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 Information

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
First Participant's Signature*
Second Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
Third Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
Fourth Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
Fifth Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
Sixth Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
Seventh Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
Eighth Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
Ninth Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
Tenth Participant's Name

First Name*

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

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
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 event information and newsletters by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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 Information

OPTIONAL INFORMATION BELOW:

Due to the active nature of some of the projects and workshops associated with Living To L.A.S.T., it is helpful for the staff to know the following: 


Do you have any allergies that you think we should be aware of?

Do you have any medical complications that you think we should be aware of?

Do you have any other concerns that you would like us to know about ahead of time?
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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