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project:

Hughson : H2O Squad - Hydration Mobile Unit

  I'm bringing other adults with me
Waiver Agreed To
Waiver Agreed To
Waiver Agreed To
Waiver Agreed To
Waiver Agreed To
Waiver Agreed To
Waiver Agreed To
Waiver Agreed To
Waiver Agreed To
Waiver Agreed To

If you're planning on bringing more adults, contact us.

  I'm bringing children with me

Enter the age of each child you're bringing:

         
         
         
         
         
         

If you're planning on bringing more children, contact us.

I'd like to help prior to the event
I'd like to keep updated with Love Hughson by receiving periodic texts
I appreciate Love Hughson and want to give a donation to help cover your expenses.
I am over 18 years of age OR the parent/legal guardian of a minor under 18 years of age OR the legal guardian of an incapacitated and/or mentally challenged person
I have read and agree with the following
Open printable version of the following waiver

RELEASE AND WAIVER OF LIABILITY FOR VOLUNTEERING ATTHE CITY OF HUGHSON APRIL 8, 2017 LOVE HUGHSON EVENT

I recognize that the volunteering at the City of Hughson LOVE Hughson Event (“LOVE Hughson Event”) for which I am volunteering can present certain risks including but not limited to bodily injury, death, illness, loss or damage to personal property, and other safety-related dangers. I understand these risks, recognize that these dangers cannot be eliminated, and acknowledge other dangers not mentioned may also exist. I understand the physical requirements of participation of any of these activities and affirm I meet the requirements and that my physical and mental health is good and that I am not under a doctor’s care for any condition that might endanger other participants or me.

I certify that I am voluntarily participating in the activities sponsored by the City of Hughson and assume all risks, consequences, and potential liability for this participation. I hereby release and discharge the City of Hughson, its employees staff, board of directors, members, instructors, volunteers, agents, representatives, and any department, organization or group affiliated there with (collectively “Released Parties”) from all liability, claims, causes of action, debts, and demands that may arise as a result of my participation in these activities. This document shall also serve as a release and assumption of the risk for my heirs, personal representatives, executors, administrators, and members of my family.

By signing this Agreement, I waive my right to bring any legal action now or at any time in the future to recover compensation or obtain any other remedy for any injury to myself or my property or for my death, however caused, arising out of my volunteer work at the LOVE Hughson Event on April 8, 2017. I further agree that I, my spouse, assignees, heirs, guardians, and legal representatives will not make any claim against, sue or attach the property of the City of Hughson for any loss or damage resulting from my participation at the LOVE Hughson Event. I am aware of the potential dangers and that this is a release of liability, a waiver of my legal right to collect damages in the event of injury, death or property damage and I sign it on my own free will. I expressly agree that this release is intended to be as broad and inclusive as the State of California will allow and that if any portion is held invalid, I agree that the balance shall, not withstanding, continue in full legal force and effect.

Further, I consent that any photograph in which I appear in, taken during my time at the LOVE Hughson Event may be used without notice or compensation to me for purposes of publicity or advertising by the City of Hughson.

I CERTIFY THAT I HAVE READ AND UNDERSTAND THIS WAIVER AND RELEASE AS IT APPLIES TO ME. (Parent or guardian must sign for participants under 18 years of age)

As a parent or guardian of the participant indicated above, I acknowledge reading this form and agree to all the provisions set forth above. In addition to the above release and assumption of risk, I also give my permission for guides, instructors, staff, and emergency personnel to make necessary first aid decisions in the event of an accident, injury, or illness to the above named participant.