Youth Liability Release and Waiver; Indemnification.

The undersigned (hereinafter referred to as “Attendee”) acknowledges, understands, confirms and agrees that Attendee’s attendance at, and participation in any activities, events and functions (collectively, the “Activities”) associated with, the 2019 Civitan International Annual Convention (the “Annual Convention”) could result in injury to Attendee and/or damage to Attendee’s property from a combination of factors including, but not limited to, dangerous conditions at, in or about any lodging, dining, meeting, recreational and/or other facilities utilized for the Annual Convention and the Activities, transportation of Attendee to and from the Annual Convention and/or the Activities, third-party vendors contracted to provide goods and services for the Annual Convention and its attendees, unfavorable weather conditions, and other risks to Attendee from attending the Annual Convention and participating in the Activities.  Attendee fully realizes the dangers and risks to Attendee of attending the Annual Convention and participating in the Activities. 

In consideration of the time, effort and expenses incurred by Civitan International to host the Annual Convention and plan the Activities, and as a condition to Attendee being permitted to attend the Annual Convention and participate in the Activities, ATTENDEE HEREBY IRREVOCABLY AND UNCONDITIONALLY RELEASES, FOREVER DISCHARGES, AND AGREES NOT TO SUE OR BRING ANY OTHER LEGAL ACTION AGAINST THE RELEASED PARTIES (AS DEFINED BELOW) WITH RESPECT TO ANY AND ALL CLAIMS AND CAUSES OF ACTION OF ANY NATURE WHETHER KNOWN OR UNKNOWN, WHICH ATTENDEE HAS OR MAY IN THE FUTURE HAVE AND WHICH COULD BE ASSERTED BY OR ON BEHALF OF ATTENDEE IN CONNECTION WITH ATTENDEE’S ATTENDANCE AT THE ANNUAL CONVENTION AND/OR ATTENDEE’S PARTICIPATION IN THE ACTIVITIES, INCLUDING, BUT NOT LIMITED TO, CLAIMS OF NEGLIGENCE, NEGLIGENCE PER SE, NEGLIGENT MISREPRESENTATION, PREMISES LIABILITY, TORT CLAIMS, BREACH OF WARRANTY, STATUTORY VIOLATIONS AND BREACH OF CONTRACT.  The term “Released Parties” shall mean Civitan International and its officers, directors, managers, employees, agents, representatives, volunteers, assigns and successors in interest.

I understand that I understand and agree that I may be photographed during my attendance at the Annual Convention and while participating in the Activities. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by Civitan International and/or its districts and member clubs without compensation or notice to me.

PLEASE COMPLETE THE FORM BELOW:

 

I, parent/legal guardian of registrant, have read and agree to the above “Participation, Authorization and Indemnity.”