I understand that participating in the patient reunion event and its associated activities, including physical outcome assessments and recreational activities, involves voluntary physical movement and interaction. I state that I am choosing to participate in these activities of my own free will. I agree that I will only participate in assessments or activities that I feel comfortable and capable of performing safely.
I assume all risks associated with my participation in this event, including but not limited to: physical exertion, minor slips or falls, interactions with other participants, the effects of the weather (if outdoors), and potential exposure to communicable diseases (including viruses, bacteria, and other infectious pathogens). I acknowledge that if at any time I believe event conditions or an assessment task are unsafe or exceed my physical capabilities, I will immediately discontinue my participation.
I fully accept and assume all responsibility for any losses, costs, and damages I may incur as a result of my participation. I agree to abide by any guidance or decisions made by event staff or clinical personnel regarding my ability to safely engage in any activity.Having read this waiver, knowing these facts, and in consideration of my participation, I, for myself and anyone entitled to act on my behalf, hereby discharge, waive, and release Sheltering Arms Institute and any other event sponsors, along with their officers, directors, agents, volunteers, and employees from all claims or liabilities of any kind arising out of my participation in this event.
I hereby authorize and consent to photographs and/or videotaping of the registrant(s) for the following purposes: inclusion or other use in mailings, posters, newsletters, pamphlets, brochures, websites, social media, and other public relations publications, including those for promotion of Sheltering Arms Institute and its activities; publication in news media, including newspapers, magazines, newsreel, radio, billboards, or television; recording the statements, appearance, or condition of such individual for use in any manner in judicial, administrative, or investigative proceedings of any kind, civil or criminal. This consent is intended to release from liability all personnel of Sheltering Arms Institute for permitting the taking, use, publication, or dissemination of such interviews, photographs, or videos.
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