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HAZARDOUS CONDITION DISCLOSURE, WAIVER AND RELEASE AGREEMENT

The undersigned is an attendee of the 2022 CMA General Service Conference (Event) held by CRYSTAL METH ANONYMOUS (“Organizer”) on October 20th – 23rd, 2022 at the Doubletree Downtown San Diego 1646 Front Street San Diego, California 92101207 (the “Facility”). This agreement (“Agreement”) is entered into between the undersigned Releasor(s) (“Releasor”) and the Organizer, including Organizer’s employees, officers, directors, contractors, vendors, representatives, volunteers, and/or agents (collectively, “Released Parties”) and is a release of my rights to sue for illness, injuries or deaths resulting from my attendance at the Event and/or my entry onto the premises of the Facility at which the Event is held.

I understand and acknowledge that by attending the Event, I will participate voluntarily in the following conduct or activities: (i) attendance of meetings and/or group sessions with an indeterminate number of other individuals, (ii) the use of lodging and/or other amenities at the premises of the Facility, (iii) associated travel, and (iv) presence in and around the geographic area of the Facility. I further understand and acknowledge that other attendees of the Event may be traveling to the Facility from other locations within the United States, and other geographic regions that are or may have been affected by the outbreak of COVID-19, which was declared to be a worldwide pandemic by the World Health Organization as of March 11, 2020. I also acknowledge and understand that, given the nature of the pandemic, I have received no assurances from the Organizer or others that the Event, the Facility, or surrounding areas are free from contamination with the coronavirus that is linked to COVID-19. I further acknowledge, understand, and agree that I am voluntarily choosing to travel to and attend the Event and that doing so may result in my exposure to coronavirus and that this involves inherent risks that include illness, injury, or death to me.

By my signature below, I acknowledge that (i) I am attending the Event and entering the Facility voluntarily and of my own free will; (ii) I voluntarily agree to assume all risks associated with (a) my travel to and from the Event, (b) my attendance of the Event, and (c) my use of and presence at the Facility and in the geographic area surrounding the Facility; (iii) I have entered into this Agreement voluntarily and of my own free will, and (iv) I have been informed that I have the right to seek the assistance of legal counsel of my own choosing and that doing so is recommended. 

I understand and agree that the Released Parties shall not be held liable or responsible in any way for any injury, death or other damages to me or my family, heirs, or assigns which may occur as a result of my attendance of the Event, entry onto the premises of the Facility, or my associated travel and presence in the surrounding area.  I have carefully read and understand this Agreement. By signing this Agreement, I exempt and release the Released Parties from all liability or responsibility whatsoever for illness, personal injury, or wrongful death as a result of my attendance of the Event, my entry onto the premises of the Facility, or my associated travel, however caused, including but not limited to the negligence of the released parties.

IT IS THE INTENTION OF THE UNDERSIGNED RELEASOR, BY THIS AGREEMENT, TO EXEMPT AND RELIEVE THE RELEASED PARTIES FROM LIABILITY FOR ILLNESS, PERSONAL INJURY, OR DEATH CAUSED BY THE ASSUMED RISKS DESCRIBED HEREIN, INCLUDING NEGLIGENCE OF THE RELEASED PARTIES, AND RELEASOR(S) EXPRESSLY WAIVES THE BENEFITS OF SECTION 1542 OF THE CALIFORNIA CIVIL CODE, WHICH READS AS FOLLOWS:

“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.”

I understand and agree that this Agreement shall be construed in accordance with, and governed by, the laws of the State of California. I have carefully read and understand the scope and effect of each provision set forth above. 

Today's Date: 6/19/2022

First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information about the 2022 Conference
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*

Middle 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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