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WALK FOR AUTISM

2018

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Terms of Service

Autism Alliance of the Concho Valley

A program of The Arc of San Angelo, Inc.

Activity Release Form

This is a digital copy of the actual form that you will sign on the day of the walk.  By checking the box at the bottom of this document you agree to all statements presented herin. Additionly, please print and complete this document and bring it with you on the day of the walk. Document found here: Click Here to Download

For and in consideration of permitting ______________________________ (the “Participant”) to take part in the Autism Alliance of the Concho Valley Walk for Autism (the “Walk”) on the campus of Angelo State University, I hereby expressly and knowingly RELEASE ANGELO STATE UNIVERSITY AND/OR THE ARC OF SAN ANGELO, INC. (THE ARC), ITS OFFICERS, AGENTS, VOLUNTEERS, AND EMPLOYEES FROM ANY AND ALL CLAIMS AND CAUSES OF ACTION I MAY HAVE FOR PROPERTY DAMAGE, PERSONAL INJURY OR DEATH SUSTAINED BY ME ARISING OUT OF MY PARTICIPATION IN THE WALK, WHETHER CAUSED BY MY OWN NEGLIGENCE OR THE NEGLIGENCE OF ANGELO STATE UNIVERSITY AND/OR THE ARC, ITS OFFICERS, AGENTS, VOLUNTEERS, OR EMPLOYEES.

I hereby give my consent for any medical treatment that may be required during my participation with the understanding that the cost of any such treatment will be my responsibility.

Further, I voluntarily and knowingly agree to HOLD HARMLESS, PROTECT, AND INDEMNIFY Angelo State University and/or The Arc, its officers, agents, volunteers, and employees, against and from any and all claims, demands, or causes of action for property damage, personal injury or death, including defense costs and attorney’s fees, arising out of my participation in the Walk, REGARDLESS OF WHETHER SUCH DAMAGES, INJURY OR DEATH ARE CAUSED BY MY OWN NEGLIGENCE, OR BY THE NEGLIGENCE OF ANGELO STATE UNIVERSITY AND/OR THE ARC, ITS OFFICERS, AGENTS, VOLUNTEERS, OR EMPLOYEES.

Angelo State University and/or The Arc shall notify me promptly in writing of any claim or action brought against it in connection with my participation in these activities. Upon such notification, I, or my representative, shall promptly take over and defend any such claim or action.

I HAVE READ AND UNDERSTOOD THIS DOCUMENT, AND MY SIGNATURE EVIDENCES MY INTENT TO BE BOUND BY ITS TERMS.

SIGNATURE: _________________________________ DATE: ______________________

(PARTICIPANT)

If a Participant is under 18, I am signing as a parent or guardian to reflect my agreement to indemnify (that is, protect by payment or reimbursement) Angelo State University and/or The Arc from any claim which may be brought by or on behalf of the Participant, or any member of the Participant’s family, for injury or loss resulting from those inherent risks of the course, described above, and from the negligence of the Participant or Angelo State University and/or The Arc.

SIGNATURE: _________________________________ DATE: ______________________

(PARENT OR GUARDIAN)

The Arc will be taking photographs and videos at this event for them to use in future as they see fit. I agree that if I do not want my picture used, I am SOLELY responsible for clearly communicating that desire to The Arc staff, the photographers, and any media present.

SIGNATURE: _________________________________ DATE: ______________________

(PARENT OR GUARDIAN)

 

By checking the box at the bottom of this document you agree to all statements presented herin. Additionly, please print and complete this document and bring it with you on the day of the walk. Document found here: Click Here to Download

 

FOR ANY QUESTIONS ABOUT THIS WAIVER, PLEASE CONTACT autism@thearcofsanangelo.org