Loading...

City of Sausalito

A Toast to Sausalito

Liability Waiver

Assumption of Risk: I have been made aware of the inherent dangers and risks associated with such activities or events. These may include, but are not limited to, risks related to travel to and from the activities; special skills that may be required to perform certain activities; unknown or unseen facility conditions that could cause injuries, or defects in equipment used in the activities (which may not be known to the City); inherent risk in learning new movements or conditioning that may be required to perform skills that the participant desires to learn or perform. I accept and assume full responsibility and assume all risk for any and all risks of damage, injury, or death resulting to myself arising out of such activities, whether or not while using City property, equipment, and supplies, whether the risks are known to myself.


Waiver and Discharge of Claims: To the fullest extent permitted by law, in consideration for being permitted by the City of Sausalito (“City”) to participate in the above referenced activity, I, hereby waive, release and discharge any and all claims for damages for personal injury, death, or property damage which I, or which my personal representatives, heirs, next-of-kin, executors, administrators and assigns may have, or which may hereafter accrue against the City, its officials, officers, employees, agents, volunteers and contractors (“City Parties”), that arise out of the above referenced activity, and covenant not to sue the City Parties for such claims. To the fullest extent permitted by law, this release is intended to discharge, in advance, the City Parties from any and all liability, claims, or causes of action arising out of or connected with said activity or upon their acts or omissions, including those arising out of the negligence of the City Parties. In doing so, I expressly waive any rights I may have under Civil Code section 1542, which provides:  A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party.

This release and waiver claims shall cover all claims that I am legally able to release, whether caused by the negligence of myself, the participant, the City Parties, other participants or anyone else while participant participates in the activities, whether or not using City property, equipment, or supplies, and whether the risks are known or unknown to me, and shall be binding on me and my personal representatives, heirs, assigns, executors, administrators and next-of-kin.                            


Voluntary Participation and Allergy / Dietary Restrictions: By participating in the A Toast to Sausalito and consuming food and beverages it is acknowledged that I indemnify and hold harmless any claims or expenses arising from participation or consumption of food and beverage, even if based on negligence of the released parties. I understand the A Toast to Sausalito cannot accommodate specific dietary restrictions or guarantee allergen-free food. Individuals are responsible for managing their own allergies and dietary restrictions.  



I HAVE CAREFULLY READ AND I UNDERSTAND, ACKNOWLEDGE AND AGREE TO THIS WAIVER AND RELEASE OF LIABILITY. I UNDERSTAND THAT I AM VOLUNTARILY GIVING UP VALUABLE LEGAL RIGHTS BY SIGNING THIS FORM. I UNDERSTAND THAT I MAY SEEK THE ADVICE OF AN ATTORNEY IN ANY MATTER CONNECTED WITH THIS FORM BEFORE SIGNING. 

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 21 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Photo & Video Taping Release:
I hereby give my express and unconditional permission and consent to the City of Sausalito to use videotaped or photographed images of me or my business or my business representatives for use in the City's publicity or public relations materials and I will not seek any fee or other form of compensation of any type or amount for such use. I hereby give up any rights that I or my business or my business representatives may have to inspect or approve my images, names or likenesses or my business or my business representatives including any advertising copy, printed matter, website or other media or material in which my images, names or likenesses or my business or my business representatives may appear in relation to the City publicity or public relations materials*
No
Yes
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*
Date of Birth
I certify that I am 21 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!