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CONSENT AND RELEASE: PLEASE READ CAREFULLY BEFORE PROCEEDING!

 

This Consent, Release and Waiver of Liability (the "Release") is hereby executed on the date written below by the undersigned participant or volunteer (the "Participant") in favor of the American Cancer Society, Inc., its affiliated divisions and entities, all host facilities, subcontractors, and sponsors, including in each case, without limitation, their directors, officers, employees, volunteers, and agents (collectively "ACS"). The Participant desires to engage in certain fundraising activities and/or events with ACS during the current calendar year, including but not limited to Relay for Life® and/or Making Strides Against Breast Cancer® (the "Activities") and understands that his/her participation in these Activities may include camping, picnicking, walking, jogging, running, bicycling, swimming, water plunging, golfing, exercising, climbing, or other recreational or team sports, and any other physical activity reasonably anticipated to be performed by Participant as a part of or in any way associated with ACS Activities. The Participant acknowledges that he/she derives personal satisfaction and a benefit by virtue of his/her participation with ACS and/or performing the Activities discussed above, and Participant willingly engages in these Activities.

 

The Participant hereby freely, voluntarily, and without influence from anyone or duress of any kind executes this Release and consents and agrees to each of the following:

RELEASE AND WAIVER. THE UNDERSIGNED PARTICIPANT HEREBY RELEASES, WAIVES AND FOREVER DISCHARGES ANY AND ALL LIABILITY, CLAIMS, AND DEMANDS OF WHATEVER KIND OR NATURE AGAINST ACS, INCLUDING ITS SUCCESSORS AND ASSIGNS, EITHER IN LAW OR IN EQUITY, TO THE FULLEST EXTENT PERMISSIBLE BY LAW, INCLUDING BUT NOT LIMITED TO THE NEGLIGENCE, FAULT OR MISCONDUCT OF ANY KIND ON THE PART OF ACS FOR DAMAGES OR CAUSES OF ACTION, INCLUDING BUT NOT LIMITED TO DEATH, BODILY OR PERSONAL INJURY, ILLNESS, ECONOMIC LOSS OR OUT OF POCKET EXPENSES, OR LOSS OR DAMAGE TO PROPERTY, WHICH PARTICIPANT, HIS/HER HEIRS, ASSIGNEES, NEXT OF KIN AND/OR LEGALLY APPOINTED OR DESIGNATED REPRESENTATIVES, MAY HAVE OR WHICH MAY HEREINAFTER ACCRUE ON THEIR BEHALF, WHICH ARISE OR MAY HEREAFTER ARISE FROM THE PERFORMANCE OF PARTICIPANT'S ACTIVITIES AND/OR PARTICIPATION WITH ACS ACTIVITIES.

 

EFFECTIVE DURATION. I UNDERSTAND AND AGREE THAT THIS RELEASE AND WAIVER WILL APPLY TO AND GOVERN MY PARTICIPATION IN ANY AND ALL ACS ACTIVITIES AND/OR EVENTS DURING THE CURRENT CALENDAR YEAR. FURTHER, I FULLY INTEND FOR THIS RELEASE AND WAIVER TO BE EFFECTIVE FOR THE DURATION OF THE CURRENT CALENDAR YEAR.

 

ASSUMPTION OF THE RISK. The Participant understands that the Activities include work that may be hazardous to the Participant, including but not limited to camping, picnicking, walking, jogging, and running, and any other activities reasonably anticipated to be performed by Participant as a part of or in any way associated with ACS Activities, and hereby knowingly assumes the risk of injury, harm and loss associated with the Activities and participation with ACS, including any injury, harm and loss caused by the negligence, fault or misconduct of any kind on the part of ACS.

 

MEDICAL TREATMENT. Participant does hereby release and forever discharge ACS from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Participant's Activities with ACS. Participant hereby grants permission to ACS to render preventative or first-aid assistance or seek treatment or medical care that seems reasonably necessary, including hospitalization, for Participant's health and well-being. Participant agrees that ACS may give out any and all medical information, including Participant's personal health information ("PHI"), to any physicians, hospitals, ambulance companies, or any other health care provider in the event of an emergency and/or hospitalization, as reasonably necessary for purposes related to Participant's treatment.

 

WEB PAGE CONTENT. ACS provides web pages to participants of its signature events such as Relay For Life® and Making Strides Against Breast Cancer® ("Participant Pages") as a service. All donations received through the Participant Pages are contributions for which no goods and services have been provided. Therefore, Participant Pages shall not contain any language which suggests that merchandise will be provided in exchange for their contribution. Participants are expressly prohibited from offering merchandise sales, prizes, raffles, giveaways, lotteries, contests, tournaments, lucky draws, or any games of chance on their Participant Pages either as an outright token action or as an inducement to solicit donations. As a Participant, you are limited to disseminating information that is for the benefit of ACS Relay For Life® and ACS Making Strides Against Breast Cancer®. The Participant Pages are expected to represent ACS in a professional manner in accordance with the ACS Internet Privacy Policy. Furthermore, Participants are expressly prohibited from including information on their Participant Pages that are inconsistent with ACS's mission and values. Participant Pages shall not advertise for-profit business. Examples of prohibited subjects include, but not are limited to, the sale or promotion of any goods or services, an endorsement or perceived endorsement of any goods or services, support or opposition of a political party or a political candidate, materials affiliated with tobacco or tobacco-related products and any other products inconsistent with ACS's mission, content of any nature which may result in fraud or misrepresentation to the public, pornographic or otherwise offensive sexual materials, racially or ethnically prejudicial materials, overtly religious materials or any other information that may be offensive to the general public. ACS reserves the right to edit or remove any participant page that ACS deems in violation of these policies and standards.

 

IMAGE RELEASE. Participant does hereby grant and convey unto ACS all right, title, and interest in any and all photographic images and video or audio recordings made by ACS during the Participant's Activities with ACS, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. Participant hereby releases, discharges and agrees to save harmless ACS, its legal representatives or assigns, and all persons acting under its permission or upon its authority or for whom it is acting, from any liability by virtue of any publication of Participant's likeness, including, without limitation, claims for libel or invasion of privacy.

 

THE FOLLOWING MUST ALSO BE COMPLETED BY PARENT OR GUARDIAN IF PARTICIPANT IS A MINOR CHILD UNDER 18 YEARS OF AGE:

In consideration of the minor child's (under 18 years of age) (Minor Participant) participation in any ACS Activities or youth events such as Relay Recess or Field Day, the undersigned in his/her capacity as Minor Participant's parent or guardian, hereby (a) give permission for the Minor Participant, who is my child or ward, to participate voluntarily in ACS Activities and/or perform the Activities referenced in the Release, and (b) understand that this Release forever releases, waives and discharges any and all liability, claims, and demands of whatever kind or nature against ACS and Released Parties, including ACS's successors and assigns, either in law or in equity, to the fullest extent permissible by law, including but not limited to the negligence, fault or misconduct of any kind on the part of ACS for damages or causes of action, including but not limited to death, bodily or personal injury, illness, economic loss or out of pocket expenses, or loss or damage to property, which Minor Participant, his/her heirs, assignees, next of kin and/or legally appointed or designated representatives, may have or which may hereinafter accrue on their behalf, which arise or may hereafter arise from the performance of Minor Participant's Activities and/or his/her participation in ACS Activities.

 

I also acknowledge reading and understanding all of the terms and conditions set forth in the Release signed by my child or ward, and consent and agree to each and every term and condition contained in the Release.

 

Direct Privacy Notice to Parents of Children under 13 Years of Age

In compliance with the federal Children's Online Privacy Protection Act of 1998 (COPPA), parental consent is required before ACS can collect any registration information from a child under age 13. By signing this form, you, a parent or guardian of a Relay Participant, agree that you have read the Privacy Policy for Relay Recess and you give consent to the American Cancer Society, Inc. to collect information about your child that is needed to register him or her. You understand that you may consent to the collection of necessary information about your child without permitting the Relay Recess website to disclose such information to third parties. You also understand that the site will not collect more information about your child than is reasonably necessary to participate in Relay Recess. You also understand that in consenting to your child's registration, you are enabling your child to participate in all communication aspects of the site, including posting content on your child's Personal Page that may be accessible to the public.

 

Checking the box below, and completing this registration does prove that you are consenting to the waiver & release of certain legal rights as set forth in this release and waiver of liability agreement.

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Must register by Oct. 8 to guarantee shirt. 

For more than a 100 years, The American Cancer Society has been leading the fight to end cancer. With your support, we have helped usher in an era where more people survive cancer than ever before. By translating our research findings into action, we've seen a 20% decline in US cancer death rates since the early 1990s. Join us to help finish the fight.  
 
Our mission is to save lives, celebrate lives, and lead the fight for a world without cancer.  
To learn more, visit our Website 
 
Please note that it will take approximately 3-5 business days for registration fees and any donations made during registration to appear on our event website.    

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