Lā Hana Community Stewardship Day Sign-Up
Please RSVP to the October 13, 2018 Community Stewardship Day at the Waiaʻōpae Fishpond Restoration Site
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number (xxx) xxx-xxxx *
Your answer
Will you require transportation to and from the work site? *
Publication & Release of Liability *
I, for myself and for my respective heirs, executors, administrators and assigns, do hereby give full right and permission to use my likeness, photograph(s), voice, testimonials or other statements recorded or unrecorded, and/or name, and to grant permission to others to use my likeness, photograph(s), voice, testimonials or other statements recorded or unrecorded, and/or name, and do hereby release, acquit and forever discharge Lana'i Resorts, LLC, a Hawaii limited liability company doing business as Pūlama Lāna‘i, its subsidiaries, affiliates, officers, employees, agents, representatives, successors and assigns, and anyone receiving permission from the aforesaid (Pūlama Lāna‘i), from any and all claims, actions, causes of action and liabilities, of whatsoever kind or nature, arising out of any use of my likeness, photograph(s), voice, testimonials or other statements recorded or unrecorded, and/or name, for advertising, publicity, trade or any other lawful purpose, in any medium now known or hereafter to be developed. I hereby waive any right I may have to inspect and approve the finished product or such written or spoken copy that may be used in connection therewith, or the use to which it may be applied. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Maunalei & Waiaopae Heritage Stewardship Program, herewith known as “Project,” and actions and undertakings in connection with the Project and the Footage (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means, including, without limitation: acts, omissions, recommendations or advice given by Pūlama Lāna‘i, or its agents, employees, or other persons or entities affiliated with the Project; participation in inherently dangerous activities, latent or apparent defects or conditions in any equipment used in the Project; weather or other natural conditions; human error; my physical and mental condition; my own acts or omissions; first-aid, emergency treatment or other services rendered to me or others. Notwithstanding the foregoing, I hereby agree to voluntarily accept and assume any and all such risks as well as any risks not mentioned herein that are in any way associated with my Participation and the subsequent or simultaneous exhibition or other dissemination of the Footage, the Results and Proceeds and/or any portion thereof in perpetuity throughout the universe in any and all media, whether now known of hereafter invented (“Exhibition”). I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Project, the making, recording, production, use, editing, distribution, licensing, promoting, and/or Exhibition of the Footage, the Results and Proceeds and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
I am over 18 years of age. *
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