RELEASE AND WAIVER OF LIABILITY AGREEMENT
I acknowledge that I have voluntarily applied to participate in the following activities with Ride for Reading Inc. during the J.E. Moss Elementary School Delivery. I am aware that these activities could be hazardous activities and that I could be injured. I am voluntarily participating in these activities with knowledge of the danger involved, and agree to assume any and all risks of the activities, whether those risks are known or unknown.
I verify this statement by placing my legal name and signature in this document. My parent or legal guardian verifies this statement by placing his or her legal name and signature in this document. As consideration for being permitted by Ride for Reading to volunteer, I forever release Ride for Reading or any affiliated organization, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “releases”) from any and all actions, claims, or demands that I, my assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury property damage, etc., related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any release, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I, my assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any release in connection with any of the matters covered by the foregoing release. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and ride for reading, the state, the county, and the lessor, and sign it of my own free will.
If signed by parent or guardian: I verify that the activities and the significance of this release and waiver were explained to the participant and that the participant understood them.
If you are under 18 years of age, you and your parent or guardian must sign and initial this form where indicated participant/releaser parent or guardian
By entering these premises you acknowledge that your image, voice and likeness may be photographed or videotaped for possible use not limited to web, print, video, and broadcast purposes by Ride for Reading and its partner organizations.
By remaining in this immediate vicinity, you are giving Ride for Reading and its partner organizations your consent to film, record, and broadcast cast your picture, likeness, voice and statements.