Loading...

This Photo Release and Waiver of Liability (the “Release”), is executed in favor of the Released Parties, as defined below, by (the “Volunteer”) who will be a participant in the Event described above. I hereby freely and voluntarily, without duress, execute this Waiver under the following terms:

 

Acknowledgement. I, the Volunteer, desire to work as a volunteer for the Event and engage in the activities related to being a volunteer for the Event. I acknowledge that I am sufficiently healthy and free of any known allergic reactions to serve as a volunteer for the Event.

 

Waiver. I, the Volunteer, do hereby release and forever discharge and hold harmless Long Beach Organic, Inc., subsidiaries, successors, and each of their respective directors, officers, employees, property owners, and agents (the “Released Parties”) from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, including attorney’s fees, which arise directly or indirectly from my participation in the Event.  I understand that the Event may include activities that may be hazardous to me, including, but not limited to, gardening, use of gardening tools, construction activities, loading and unloading of heavy equipment and materials, injuries caused by insects or wildlife, and local transportation to and from the Event. I hereby expressly and specifically assume the risk of injury or harm in these activities and release the Released Parties from all liability for injury, illness, death, or property damage resulting from the Event.

 

Medical Care. Volunteer does hereby release and forever discharge the Released Parties from any claim whatsoever which arises on account of any first aid, treatment, or service rendered in connection with the Volunteer’s participation in the Event beyond what may be offered freely by an authorized representative of the Released Parties in the event of such injury or medical expense. Volunteer is solely responsible for his/her own medical care and coverage, should any be desired or needed. Each Volunteer is expected and encouraged to arrive with medical or health insurance coverage in effect.

 

Photo Release. Volunteer agrees that the Released Parties may use images and recordings, whether audio or visual or both, of him/her taken during the Event (“Photos”) as the Released Parties see fit in their sole discretion to benefit and promote the Released Parties and/or the Event. Volunteer does hereby grant and convey unto Long Beach Organic, Inc. all right, title, and interest in the Photos, including, but not limited to, any royalties, proceeds, or other benefits derived from the Photos. Volunteer hereby releases and discharges the Released Parties from any and all claims and demands arising out of or in connection with the use of the Photos, including without limitation any and all claims for libel or invasion of privacy

 

Severability. Volunteer agrees 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 not otherwise affect the remaining provisions of this Release which shall continue to be enforceable. 


Today's Date: September 7, 2024

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, news, and discounts by e-mail.
If you are volunteering as part of a club, school, or organization, please specify below
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*

Middle Name

Last Name*

Relationship*

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!