EXPRESS WAIVER OF LIABILITY

RELEASE AND INDEMNITY AGREEMENT

                                        

OC UNITED TOGETHER

418 W. Commonwealth Ave., Fullerton, CA 92832

In consideration for being allowed to participate in the Pumpkin Run (the “Activity”) sponsored by OC United Together (“OC United”), the sponsoring organization (herein after the “Entity”) the Undersigned does hereby agree to this express waiver of liability against the Entity, and makes the release and Indemnity Agreement with Entity set forth below.

                                        

The Undersigned, for themselves, and their personal representatives, assigns, heirs, and next of kin, and each and every one of them:

                                                

The Undersigned hereby warrants that the foregoing statements are true and correct and that the Undersigned understands that the Entity has relied upon such warranties in entering into this Agreement, and making the premises available for use by the Undersigned. No oral representations, statements, or inducements have been made by or between the parties to this Agreement with respect to the subject matter of this agreement, apart from the matters set forth within this Agreement.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS AND LEGAL CONSEQUENCES. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

I AM AWARE THAT THIS IS AN EXPRESS WAIVER OF LIABILITYAND A RELEASE AND INDEMNITY AGREEMENT BETWEEN THE ENTITY, AND MYSELF AND I AGREE TO IT WITH MY OWN FREE WILL.                                                        

___________________________________________________________________________________________________________ FIRST & LAST NAME                                         DATE                                 SIGNATURE

        

        ___________________________________________________________________________________________________________ PARENT/GUARDIAN NAME (if under 18)                 DATE                                 SIGNATURE                                

                        

______________________________________________

CONTACT PHONE #