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Participant/Participant's parent or guardian agrees to allow Participant's image to be used in tr
<br /> published materials and websites that promote the programs of the City of Livermore,City of
<br /> Pleasanton,Zone 7,LARPD or this Event
<br /> In exchange for being permitted to participate in the Event,Participant hereby releases and
<br /> holds harmless the Released Parties from any claim or lawsuit for personal injury,property
<br /> damage,or wrongful death,by me,my family members,estate,heirs,or assigns,arising out
<br /> of Participant's participation in the Event,including both claims arising during the activity
<br /> and after Participant completes the activity,and including claims based on negligence of
<br /> other participants or the Released Parties,whether passive or active.
<br /> I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS WAIVER
<br /> OF LIABILITY AND ASSUMPTION OF RISK FOR MYSELF AND MY CHILD.
<br /> Event Participant Name[please print] Signature Date
<br /> Address Apt#
<br /> City State Zip code
<br /> E-mail address
<br /> Phone Number
<br /> IF PARTICIPANT IS UNDER THE AGE OF 18:
<br /> My child is participating in this activity voluntarily. My child is physically fit to participate in this
<br /> activity. I understand that this activity may involve the risks,as stated above,and knowing and
<br /> accepting these risks,I give my express permission for my child to participate in this activity.
<br /> So that my child may participate in the Event and gain the benefits of that participation,on behalf of
<br /> my child,I hereby assume all risk and hereby waive,release and discharge the City of Livermore,
<br /> City of Pleasanton,Zone 7,LARPD,their respective employees,officers,agents or assigns for any
<br /> and all claims for damages for personal injuries or claims for damages to property which my child
<br /> or my child's heirs or assigns may have or which may accrue arising out of my child's participation
<br /> in the Event
<br /> I consent to the City of Livermore,City of Pleasanton„Zone 7,and LARPD's use of any photographs
<br /> that are taken of my child while participating in the Event
<br /> I(PARENT/LEGAL GUARDIAN) HAVE READ AND UNDERSTAND THE CONTENTS OF THIS
<br /> WAIVER OF LIABILITY AND ASSUMPTION OF RISK FOR MY CHILD.
<br /> Child's Name(Program Participant)
<br /> Parent/Guardian's Name[please print] Signature of Parent/Guardian Date
<br /> EXHIBIT B
<br />ipation in the Event,or as a result of product liability or the negligence of any party,including
<br /> Released Parties,whether passive or active.
<br /> Participant understands that participation in the Event may involve certain inherent risks,
<br /> including but not limited to,the risks of possible injury,infection or loss of life as a result of contact
<br /> with needles,condoms,metal objects,burning embers or other hazardous materials,wild animals,
<br /> poisonous plants,insects or snakes,or from over-exertion or environmental conditions,including
<br /> but not limited to flooding,rockslides or dangerous terrain. Despite the risks,Participant still
<br /> chooses to participate in such activity.
<br /> No known physical or health limitation prevents me from safely participating in this Event. In
<br /> consideration for being allowed to participate,Participant personally assumes all risks,whether
<br /> foreseen or unforeseen,in connection with the Event of any harm,injury or damage that may befall
<br /> Participant.
<br /> If Participant is injured during the Event,Participant authorizes any physician licensed in California
<br /> to perform emergency treatment as in his or her sole judgment may be necessary. Participant is
<br /> over the age of eighteen(18)and legally competent to sign this liability release,or has acquired the
<br /> written consent of Participant's parent or guardian(see below). Participant understands that the
<br /> terms herein are contractual and not a mere recital,this instrument is legally binding,and
<br /> Participant or Participant's parent or guardian has signed this document of their own free act.
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