PARTICIPATORY WAIVER FORM READ BEFORE SIGNING
EVENT: Microplastic Beach Cleanup
DATE:June 24 through September 30 2023In consideration of my participation in the aforementioned event (the “Activity”) hosted by the Rotary Club of Newport (“Rotary”) and intending to be legally bound, I, the undersigned, (“Participant”) acknowledge, understand and agree that:
Acknowledgment of Risk
There are risks, inherent or otherwise, in attending or participating in the Activity and being present at or using any associated facilities or sites (“Risks”). I have full knowledge and understanding of the Risks associated with
the Activity, which may include, but are in no way limited to: personal injuries, Illness (including exposure to and infection with viruses or bacteria), or possibly death or other serious harm to me or others. Rotary in no way warrants
that COVID-19 infection will not occur by attending or participating in the Activity. All participants should seek medical advice concerning safe participation in the Activity.
I have full knowledge of the nature and extent of the Risks in connection with attending or participating in the Activity and being present at or using any of the associated facilities or sites, and knowingly and voluntarily assume
those Risks. I understand that I will be solely responsible for any loss or damage, including personal injury, property damage, illness, death or other harm, sustained in connection with or in any way related to my or my child’s
attendance at or participation in the Activity. While these terms and conditions are intended to protect my health and safety and minimize the spread of COVID-19, I acknowledge and understand there are still risks involved and am
not relying on any promises or representations by or on behalf of Rotary about those risks or the safety of the Activity.
Representations and Acknowledgments
During the Activity, I willingly agree to abide by all of Rotary’s rules, policies, instructions, terms and conditions for participation, and any legal requirements and guidelines relating to COVID-19. I further certify that I am in good health and have no conditions or impairments which would preclude my or other’s safe participation in the Activity.
Release, Indemnification & Covenant Not to Sue
In consideration of my or my child’s attendance at or participation in the Activity, I voluntarily agree and, on behalf of myself and my family members, my heirs, next of kin, representatives, executors, administrators, and assigns (collectively, the “Releasing Parties”), HEREBY DO RELEASE, COVENANT NOT TO SUE AND FOREVER DISCHARGE, Rotary, its officers, directors, employees, volunteers, agents, representatives, insurers and affiliates (collectively, “Released Parties”) from any causes of action, claims, or demands, damages, losses, or liabilities (including, without limitation, any costs and attorneys’ fees) of any nature whatsoever including claims of ordinary negligence, (“Claims”), which the Releasing Parties may have now or In the future against Released Parties on account of personal injury (including illness from communicable diseases such as COVID-19), property damage, death or accidents of any kind, arising out of or in any way related to my or my child’s attendance at or participation in the Activity. I acknowledge and agree that this agreement is intended to be a general release of and bar to all Claims arising out of or attributable to the Activity, including those unknown to me, or which I do not suspect to exist at this time.
Releasing Parties hereby expressly, knowingly and intentionally waive, on behalf or myself and/or my child, any and all rights, benefits, of any other state or federal statute or common law principle limiting the scope of a general
release. In consideration of my or my child’s attendance at or participation in the Activity, I agree, on behalf of myself and the Releasing Parties, to INDEMNIFY AND HOLD HARMLESS the Released Parties from any and all Claims, to
the fullest extent of the law, arising out of or in any way related to my or my child’s presence at or participation in the Activity.
Photo Release/Media Permission: Additionally, by participating in this Activity and signing this waiver I consent to Rotary’s creation and use of my name, image, likeness, voice, and the like, in any and all media,
currently in existence or hereafter created, including but not limited to print; radio, video, broadcast; internet; and collateral materials, such as in-house and trade publications, magazines, and news releases, for any and all
uses, including but not limited to advertising, publicity, and promotional purposes, worldwide in perpetuity, without further payment or consideration, and agree to release and hold harmless Rotary in connection with said creation
and use. If signing as a parent or guardian of a participant under the age of 18, by signing this waiver, I hereby consent to Rotary’s creation and use of my minor child(ren)’s, for which I am the parent, legal guardian, or otherwise
responsible for, name, image, likeness, voice, and the like, in any and all media, currently in existence or hereafter created, including but not limited to print; radio, video, broadcast; internet; and collateral materials, such
as in-house and trade publications, magazines and news releases, for any all uses, including but not limited to advertising, publicity, and promotional purposes, worldwide in perpetuity, without further payment or consideration,
and agree to release and hold harmless Rotary in connection with said creation and use.