In consideration of being permitted to take the Plunge for Elodie at TBD (insert Plunge location in next section) for the purpose of fundraising, (the “Activities”) I acknowledge and agree to, on my own behalf, and on behalf of my personal representatives, heirs, assigns, executors, administrators and next of kin, as follows:
1. I am aware and acknowledge that injury or death may result from the Activities and/or from the presence at - or use of - the Premises.
2. Upon entering the Premises, I will inspect the same and my observation and use of said Premises shall constitute an acknowledgement that I find and accept them to be safe and reasonably suited for their intended purpose.
3. I hereby release the Plunge for Elodie, the EB Research Partnership (EBRP), the Premises, and their respective members, directors, officers, shareholders, employees, property managers, agents, contractors and their successors and assigns (collectively the “Releasees”), from any and all costs and liability for any loss, damage, injury, expense, demand, or cause of action that I may suffer whether with respect to any personal injury, death, damage to or destruction of property, theft or otherwise which is related to my presence in, upon or about the Premises as a consequence of my presence on the Premises and/or the Activities.
4. I will indemnify and hold harmless the Releasees, collectively and individually, from any and all losses, liabilities, damages, demands, costs and expenses that they may incur, for any reason whatsoever, which may arise as a result of my participation in the Activities and my presence in, upon or about the Premises.
I acknowledge that I have read this Waiver of Liability and have received the opportunity to discuss this with my legal counsel. Further, I acknowledge that I fully understand the terms of this Waiver of Liability and that I have signed it freely and voluntarily without any inducement, assurance, guarantee or oral representation being made.
*By signing this waiver, I also agree to allow the Plunge for Elodie to take photographs and video content during the event that may include my likeness. Any photo/video content taken at the event may potentially be used on Plunge for Elodie social media channels or in future Plunge for Elodie promotional materials.
Signature OR Parent/Guardian Signature (if under 18):
Date: December 1, 2023