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Susan G. Komen Los Angeles County 2017 Race Volunteer Waiver

 

PLEASE NOTE: If you are an I AM KOMEN volunteer, this is not the correct waiver for you! Please return to the website to locate the separate I AM THE CURE waiver.

*1.
Question - Required - Today's Date




2. Your information:

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Name:

 

 

   

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*4.
Question - Required - Have you volunteered for the Komen Los Angeles Race for the Cure in the past?


*5.
Question - Required - Are you volunteering with a company/organization?


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*8.
Question - Required - Would you be interested in being a Volunteer Coordinator?" Volunteer Coordinators will help coordinate groups of volunteers and help us stay organized on Race Day.


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(Maximum response 255 chars, approx. 5 rows of text)

 

Komen Volunteer Release
Emergency Contact:

  Volunteer Application
 

PHOTOGRAPHIC AND RESULTS RELEASE and WAIVER AND RELEASE OF CLAIMS

I agree that any and all representations made and releases, waivers, covenants, consents and permissions given by me hereunder are given on behalf of me and any and all of my minor children or persons over whom I have guardianship participating in or attending the Event.

I give my consent and permission to The Susan G. Komen Breast Cancer Foundation, Inc. d/b/a  Susan G. Komen (“Komen”), its affiliates and races, their sponsors and corporate sponsors, their successors, licensees, and assigns the irrevocable right to use, for any purpose whatsoever and without compensation, (i) any photographs, videotapes, audiotapes, or other recordings of me that are made during the course of this event (the “Event”); and (ii) the results of my participation in this Event (e.g., race time, name, participant number).  I acknowledge and agree that this authorization is intended to satisfy any and all of the consent requirements of California Civil Code sections 3344 and 3344.1, and I hereby waive and release any and all claims that I may have or hereafter have against Releasors (as defined below) under those statutes or any other statutes or common law principles of similar effect.

I understand that (i) my consent to these provisions is given in consideration for being permitted to participate in this Event; (ii) I may be removed from this competition if I do not follow all the rules of this Event; and (iii) I am a voluntary participant in this Event.  I am in good physical condition and am solely responsible for my personal health, safety and personal property.  I know that this Event is a potentially hazardous activity and I hereby voluntarily assume full and complete responsibility for, and the risk of, any injury or accident THAT may occur during my participation in this Event (INCLUDING, BUT NOT LIMITED TO, MY FUNDRAISING ACTIVITIES associated with the event) or while on the EVENT premises (COLLECTIVELY, “MY PARTICIPATION”).  TO THE FULLEST EXTENT OF THE LAW, I, for myself, my next of kin, my heirs, administrators, and executors (COLLECTIVELY, “RELEASORS”), hereby release and hold harmless and covenant not to file suit against (i) KOMEN,  ALL OTHER KOMEN Affiliates, LOS ANGELES DODGERS LLC, LA REAL ESTATE LLC, CHAVEZ RAVINE LAND COMPANY LLC, and EACH OF THEIR RESPECTIVE DIRECTORS, OFFICERS, VOLUNTEERS, AGENTS, REPRESENTATIVES, AND EMPLOYEES; (ii) any Event sponsors; and (iii) all other persons or entities associated with this Event (collectively, the “Releasees”) for any injury or damages I might suffer in connection with my participation.  This release applies to any and all loss, liability, or claims I OR MY RELEASORS may have arising out of my participation, including but not limited to, personal injury or damage suffered by me or others, whether such losses, liabilities, or claims be caused by falls, contact with and/or the actions of other participants, contact with fixed or non-fixed objects, contact with animals, conditions of the EVENT premises, negligence of the Releasees, risks not known to me or not reasonably foreseeable at this time, or otherwise.  I understand that I am solely responsible and liable for all aspects of MY fundraising activities associated with my participation, including, but not limited to, the safe and lawful conduct of any fundraising activities. 

This release extends to claims and facts unknown and unsuspected to exist at the time of executing this release.  All rights under Section 1542 of the California Civil Code are hereby expressly waived with respect to any of the claims, injuries, or damages described in this release.  Section 1542 of the California Civil Code reads as follows:

A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR.

This Photographic and Results Release and Waiver and Release of Claims (collectively, the “Release”) shall be construed under the laws of the state in which the Event is held.  In the event any provision of this Release is deemed unenforceable by law, (i) Komen shall have the right to modify such provision to the extent necessary to be deemed enforceable; and (ii) all other provisions of this Release shall remain in full force and effect.

I understand that I have given up substantial rights by signing this Release, and have signed it freely and voluntarily without any inducement, assurance or guarantee being made to me and intend my signature to be a complete and unconditional release of liability to the greatest extent allowed by law. 

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