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Insurance Waiver & Release Of Liability Agreement

Spina Bifida Association of Central Florida

INSURANCE WAIVER & RELEASE OF LIABILITY FORM 

In consideration of being allowed to participate in any way in Spina Bifida Association’s programs, related events and activities, I and/or the minor participant, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin,, I: 1. Agree that prior to participating, I will inspect, or if a parent/legal guardian, I will instruct the minor participant to inspect the facilities and equipment to be used. If I believe, to the best of my ability, that anything is unsafe, I and/or the minor participant will immediately advise the Spina Bifida Association of Central Florida of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that I and/or the minor participant will be engaging in activities that involve risk of serious injury. including permanent disability and death. I understand that severe social and economic losses which might result only from my own actions, inaction, or negligence of others, rules of play or the condition of the premises or any equipment used. 3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 4. Release, waive, discharge and covenant not to sue the Spina Bifida Association of Central Florida, its affiliated clubs, their representative administrators, directors, board of directors, agents, coaches and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, their heirs and if applicable, the owners and and leasers of the premises used to conduct the event, all of which are hereinafter referred to as "releases," from demands , losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise. I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING, HAVE NOT CHANGED IT ORALLY AND AGREE VOLUNTARILY.

FOR PARTICIPANTS OF MINORITY AGE (to be completed by parent/guardian) 

This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of the Releasees and for myself, my heirs, assigns and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.

 Media Release Form/Agreement

I hereby authorize and give my full consent to the Spina Bifida Association to copyright and/or publish any and all photographs, videos or film footage in which I appear while attending a Spina Bifida Association of Central Florida event. I further agree that the Spina Bifida Association of Central Florida may transfer or use these photographs, videos or film footage for any exhibitions, public displays, publications, commercials, artwork, advertising and television programs without limitations or reservations.