Event Release Permission Form

EVENT RELEASE PERMISSION FORM

WHEREAS

WHEREAS, Participant Name: (hereafter "Participant") desires to participate in the event described below; and

WHEREAS, Event Organizer: (hereafter "Organizer") will operate and manage the event and requires execution of this release as a condition of participation.

WHEREAS, Participant and Organizer desire to set forth the terms, conditions and acknowledgements governing Participant's attendance, participation, media use, medical authorization, and release of claims.

EVENT DETAILS

Event Date(s):    Event Start Time:    Event End Time:

SCOPE OF PARTICIPATION

Participant will participate in the following activities and services provided by Organizer. Participant acknowledges the nature of such activities and accepts responsibility for personal conduct and compliance with event rules.

Permissions (check all that apply):
I consent to photography and video recording during the event for use by Organizer.
I consent to any required transportation arranged by Organizer for event activities.
I acknowledge participation may include physical activity and consent to participate.

PAYMENT TERMS

Participant Fee Amount:

Late Payment Fee:    Refund Policy:

TERM AND TERMINATION

Term Start Date:    Term End Date:

Either party may terminate this agreement for material breach following written notice and expiration of the notice period specified above. Termination does not release Participant from payment obligations for services already rendered or from obligations that by their nature survive termination.

RELEASE, WAIVER AND INDEMNIFICATION

Participant, on behalf of Participant and Participant's heirs, executors, administrators and assigns, knowingly and voluntarily releases, forever discharges and agrees to hold harmless Organizer and its affiliates, officers, directors, employees, agents, contractors and volunteers from any and all claims, demands, liabilities, losses, damages, costs or expenses (including reasonable attorneys' fees) arising out of or in connection with Participant's attendance or participation in the event, including but not limited to personal injury, death, property damage, theft or other loss, whether caused in whole or in part by the negligence of Organizer or otherwise, to the fullest extent permitted by law.

Participant further agrees to indemnify and defend Organizer against any third-party claim arising from Participant's acts or omissions in connection with the event.

MEDICAL AUTHORIZATION & EMERGENCY CONTACT

Allergies:    Physician Name:    Physician Phone:

Authorization for Emergency Treatment: I authorize Organizer to obtain emergency medical treatment for Participant if necessary and will be responsible for related costs not covered by insurance.

PHOTO / MEDIA RELEASE

Participant grants Organizer an irrevocable, worldwide, royalty-free right and license to use, reproduce, distribute, publish and display Participant's name, image, likeness, voice and performance captured in photographs, videotape, audio recordings and digital media in connection with promotion, advertising, social media, and documentation of the event without further compensation, subject to Organizer's compliance with applicable laws.

CONFIDENTIALITY

Participant agrees not to disclose confidential or proprietary information of Organizer obtained during participation, including but not limited to business practices, participant lists, sponsor agreements, or unpublished materials. This confidentiality obligation survives termination of participation and the event.

GOVERNING LAW; ENTIRE AGREEMENT

Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the state of , without regard to its conflict of laws principles.

Entire Agreement: This document constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior or contemporaneous understandings, representations, or agreements, whether written or oral. Any amendment must be in writing and signed by both parties.

ACKNOWLEDGMENTS

By signing below Participant acknowledges that Participant has carefully read this Agreement, understands its terms, understands that Participant is giving up substantial legal rights including the right to sue, and signs it voluntarily.

Is Participant a minor (under 18)? Yes

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