$598.00 USD

 Sheila Bella Corp (SBC)

Pretty Ambitious Summit

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM and PHOTO RELEASE (“RELEASE”)

 

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS  SBC Pretty Ambitious Summit (“Event”), including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.  I certify that I am physically fit, have sufficiently prepared or trained for participation in this Event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this Event.  I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the Event in which I may participate, and that it will govern my actions and responsibilities at said Event.  In consideration of my application and permitting me to participate in this Event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:  (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the Released Parties, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this Event, THE FOLLOWING ENTITIES OR PERSONS:  Pretty Ambitious Summit, Sheila Bella Corp (SBC) and/or their management, venues, promoters, participants, organizers, directors, officers, employees, volunteers, representatives, and agents, and the Event holders, sponsors, and volunteers (“Released Parties”);  (B) I WAIVE the provisions of the statute in my state of residence or in the state in which the Event is held. (C) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the Released Parties from any and all liabilities or claims made as a result of participation in this Event, whether caused by the negligence of release or otherwise.  I acknowledge the Released Parties and their management, venues, promoters, participants, organizers, directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific Event on their behalf.  I acknowledge that this Event may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the Event. These risks are not only inherent to participants but are also present for volunteers.  I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this Event.  I understand that at this Event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness, voice, or persona to be used for any legitimate purpose, including commercial purposes, by any of the Released Parties, without fee or royalty. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.  I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

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