I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL
ACTIVITIES ASSOCIATED WITH THESE EVENTS/WORKSHOPS, 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 activity, 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 activity.
I acknowledge that this Accident Waiver and Release of
Liability Form will be used by the event/workshop holders, sponsors, and
organizers of the activity in which I may participate, and that it will govern
my actions and responsibilities at said activity.
In consideration of my application and permitting me to
participate in this activity, 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
entities or persons released, 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 activity, THE FOLLOWING ENTITIES
OR PERSONS: The Chinese Club of San Marino (CCSM) and/or their directors,
officers, employees, volunteers, representatives, and agents, and the activity
holders, sponsors, and volunteers;
(B)
INDEMNIFY, HOLD HARMLESS, AND PROMISE
NOT TO SUE the entities or persons mentioned in this paragraph from any and all
liabilities or claims made as a result of participation in this activity,
whether caused by the negligence of release or otherwise.
I acknowledge that CCSM and their 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 activity on their behalf.
I hereby consent to receive medical treatment which may be
deemed advisable in the event of injury, accident, and/or illness during this
activity. 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.