Social DistanSING & Cumberland Kayak & Jeremy Lister
WAIVER AND RELEASE OF LIABILITY
READ CAREFULLY – WAIVER AND RELEASE OF LIABILITY
In consideration of being allowed to participate in the Social DistanSING performance, related events and activities, I the undersigned acknowledge, appreciate and agree that:
- Risks and dangers exist in my participation in the concert, performance, and/or event.
- The risk of injury or illness from the activities involved in this program is significant, including the potential for illness or death.
- I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of Social DistanSING, Cumberland Kayak Urban Adventure Company, the independent contractor Jeremy Lister, or others, and assume full responsibility for my participation.
- I willingly agree to comply with the terms and conditions for participation, including all safety guidelines. If I observe any significant hazard during my participation and in my presence, I will safely remove myself from participation and bring attention of the hazard to everyone participating and the nearest official immediately.
- I willingly agree to follow all Centers for Disease Control and Prevention (CDC) guidelines, as well as all other relevant city, state, or federal government guidelines and recommendations.
- I, for myself and on behalf of my heirs, personal representatives and next of kin hereby release, indemnify and hold harmless Jeremy Lister, Social DistanSING, and Cumberland Kayak Urban Adventure Company, their officers, performers, officials, agents, employees, other participants, sponsors, advertisers and if applicable, owners and lessors of premises used to conduct the event from any and all claims, demands, losses and liability arising out of or related to any injury, disability or loss of life, or loss or damage of personal property, whether arising from the negligence of Social DistanSING, the independent contractor Jeremy Lister, Cumberland Kayak Urban Adventure Company or otherwise, to the fullest extent permitted by law.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE TO EXEMPT AND RELIEVE LESSOR, ITS OWNERS, OFFICERS, AGENTS AND SERVANTS, FROM LIABILITY FOR PERSONAL INJURY, ILLNESS, PROPERTY DAMAGE OR LOSS OF LIFE. I AGREE TO FOLLOW ALL EVENT RULES AND CDC REGULATIONS.
Please select who will be participating:
First Minor's Information
For Parents or Guardians of Participant of Minor Age (under age 18 at time of registration)
This is to certify that I, as parent or guardian with legal responsibility for this participant, do consent and agree to this release as provided above, and for myself, my heirs and next of kin, I release and agree to indemnify and hold harmless Cumberland Kayak Urban Adventure Company, Social DistanSING, and the independent contractor Jeremy Lister from any and all liability incidents related to my minor child’s involvement or participation as provided above, even if arising from the negligence of Cumberland Kayak Urban Adventure Company, Social DistanSING, or the independent contractor Jeremy Lister as permitted by law.
Second Minor's Information
For Parents or Guardians of Participant of Minor Age (under age 18 at time of registration)
This is to certify that I, as parent or guardian with legal responsibility for this participant, do consent and agree to this release as provided above, and for myself, my heirs and next of kin, I release and agree to indemnify and hold harmless Cumberland Kayak Urban Adventure Company, Social DistanSING, and the independent contractor Jeremy Lister from any and all liability incidents related to my minor child’s involvement or participation as provided above, even if arising from the negligence of Cumberland Kayak Urban Adventure Company, Social DistanSING, or the independent contractor Jeremy Lister as permitted by law.
Third Minor's Information
For Parents or Guardians of Participant of Minor Age (under age 18 at time of registration)
This is to certify that I, as parent or guardian with legal responsibility for this participant, do consent and agree to this release as provided above, and for myself, my heirs and next of kin, I release and agree to indemnify and hold harmless Cumberland Kayak Urban Adventure Company, Social DistanSING, and the independent contractor Jeremy Lister from any and all liability incidents related to my minor child’s involvement or participation as provided above, even if arising from the negligence of Cumberland Kayak Urban Adventure Company, Social DistanSING, or the independent contractor Jeremy Lister as permitted by law.
Fourth Minor's Information
For Parents or Guardians of Participant of Minor Age (under age 18 at time of registration)
This is to certify that I, as parent or guardian with legal responsibility for this participant, do consent and agree to this release as provided above, and for myself, my heirs and next of kin, I release and agree to indemnify and hold harmless Cumberland Kayak Urban Adventure Company, Social DistanSING, and the independent contractor Jeremy Lister from any and all liability incidents related to my minor child’s involvement or participation as provided above, even if arising from the negligence of Cumberland Kayak Urban Adventure Company, Social DistanSING, or the independent contractor Jeremy Lister as permitted by law.
Fifth Minor's Information
For Parents or Guardians of Participant of Minor Age (under age 18 at time of registration)
This is to certify that I, as parent or guardian with legal responsibility for this participant, do consent and agree to this release as provided above, and for myself, my heirs and next of kin, I release and agree to indemnify and hold harmless Cumberland Kayak Urban Adventure Company, Social DistanSING, and the independent contractor Jeremy Lister from any and all liability incidents related to my minor child’s involvement or participation as provided above, even if arising from the negligence of Cumberland Kayak Urban Adventure Company, Social DistanSING, or the independent contractor Jeremy Lister as permitted by law.
Sixth Minor's Information
For Parents or Guardians of Participant of Minor Age (under age 18 at time of registration)
This is to certify that I, as parent or guardian with legal responsibility for this participant, do consent and agree to this release as provided above, and for myself, my heirs and next of kin, I release and agree to indemnify and hold harmless Cumberland Kayak Urban Adventure Company, Social DistanSING, and the independent contractor Jeremy Lister from any and all liability incidents related to my minor child’s involvement or participation as provided above, even if arising from the negligence of Cumberland Kayak Urban Adventure Company, Social DistanSING, or the independent contractor Jeremy Lister as permitted by law.
Participant's Address