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HOPE MEANS NEVADA
Release and Waiver of Liability

READ CAREFULLY – THIS AGREEMENT AFFECTS YOUR LEGAL RIGHTS

I enter into this release and waiver of liability in connection with being onsite at any Hope Means Nevada property and/or participating in any community event (including but not limited to “walk and talks” and/or distance running (e.g., 5-kilometer runs)), observing any show or exhibition, participating in any workshop, or receiving any form of assistance on site including medical care (collectively, the “Activities” or “Activity”).

This release and waiver equally apply to my entering or exiting any facility operated by Hope Means Nevada and whether my participation in the Activities occurs at a Hope Means Nevada facility or not and whether inside or outside. This release and waiver also covers any associated parking areas associated with any Hope Means Nevada property or event. I agree to the following: 

I alone assume all risks associated with being on, entering, or exiting a Hope Means Nevada premises and with participating in any Hope Means Nevada Activity. Those risks include but are not limited to injuries from slipping or tripping anywhere on the premises including the bathrooms; falling; overexertion; collisions or verbal/physical altercations with other community members and/or staff; alleged negligent maintenance, instruction, or hiring; from slipping/tripping and falling due to allegedly insufficient lighting; from my decision to climb on any structure; from an allegedly negligently marked, maintained, or secured path for any distance running; from miscarriage or other pregnancy related complications; from allegedly negligent cleaning, construction, or building/facility maintenance; from equipment (including but not limited to the sudden, unforeseen malfunctioning of any equipment); from aggravation of a pre-existing injury; from a negative reaction to any food or beverage provided; from other participants in the Activities; from any interaction with a Hope Means Nevada staff member or volunteer; from an allergic or chemical reaction to any agent and/or cleaner; or from the contraction of any illness, disease, condition, or infection from this premises or allegedly, our staff or other community members. I acknowledge that these injuries could be psychological, emotional, or physical and that they could be minor or significant (including death).

I understand that the Activities may involve myself or other participants consuming alcohol. I accept any and all risks stemming from my consumption of alcohol as well as from other members consumption of alcohol. If I am suffering from any relevant medical condition, it is my responsibility to inform a Hope Means Nevada instructor or staff member in writing before participating in any relevant Activity or event. 

In consideration of my participation in these Hope Means Nevada Activities,I agree not to hold Nevada Medical Center, Inc. d/b/a Hope Means Nevada, their volunteers, employees, independent contractors, or agents (i.e. the “Released Parties”) liable in any respect for negligence stemming from any injury or death stemming from or related to any of the aforementioned Activities or risks enumerated in this agreement of which I have explicitly been made aware and for which I have assumed sole legal responsibility.Accordingly, I do hereby forever release and discharge the Released Parties from any and all claims or causes of action to the fullest extent allowable by law.

I understand that the Released Parties are not responsible for any loss of personal property. I further understand that by participating in these Activities with Hope Means Nevada that I am consenting to be depicted in photographs and video for marketing purposes.

I understand that, except to request a monetary refund for that particular event, I have no claim against the Released Parties by reason of their refusal to allow me to participate in any Activity or event. It is my responsibility to look out for my own safety at all times.

I agree to indemnify, defend, and hold harmless the Released Parties against any claims, liability, damages, defense costs (including attorneys’ fees), and any other costs incurred in connection with claims for bodily injury, wrongful death, loss of consortium or property damage arising out of or otherwise related to my participation in these Activities. I agree that if I (on my own behalf or on behalf of another, including an estate) assert a claim (including a claim for negligence or wrongful death) against any of the Released Parties and/or otherwise breach my agreement not to sue any of the Released Parties, I will pay all reasonable fees (including attorneys’ fees), costs, and expenses incurred by said Released Parties to defend (1) the claim; and (2) all other claims arising out of the same facts as the claim.  

To the extent applicable, I consent to my minor child (“the Minor”) participating in these Activities. I know that these Activities carry specific risks identified in this agreement and I believe the Minor is qualified and of the appropriate age to participate in these Activities. If, despite this release, I, the Minor, or anyone on the Minor’s behalf, makes a claim against any of the Released Parties, I agree to defend, indemnify, and hold harmless the Released Parties from any litigation expenses, attorneys fees, costs, loss, liability, or damages they incur whether the claim is based in negligence or otherwise.

The validity, enforcement, construction, and interpretation of this agreement shall be governed by Nevada law. Any action or proceeding arising in connection with this agreement and/or with the undersigned’s participation in any session or event with Hope Means Nevada or from being on its premises or against Hope Means Nevada in any respect, can only be brought in Clark County, Nevada. All parties to this agreement waive any objection to the jurisdiction of these courts whether based on convenience or otherwise.

If any provision or part-provision of this Release is or becomes invalid, illegal, or unenforceable, this Release shall be deemed modified to the minimum extent necessary to make it valid, legal, and enforceable. If such modification is not possible, the relevant provision or part-provision shall be deemed deleted. Any modification to or deletion of a provision or part-provision under this clause shall not affect the validity and enforceability of the rest of this agreement. By signing this release, I acknowledge that I understand its contents and that this release cannot be orally modified. I voluntarily agree to the terms and conditions stated above. I sign this agreement on my own behalf and, if applicable, on behalf of the Minor.

Date: February 6, 2023

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Preferred Name (if applicable):
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Second Participant's Signature*
Third Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Third Participant's Signature*
Fourth Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Middle Name

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

Preferred Name (if applicable):
Tenth Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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*

Middle Name

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Preferred Name (if applicable):
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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