• Fall 2020 Virtual Field Trip to Zoo Miami

    REGISTRATION WITH WAIVER AND RELEASE
    • Interactive session will be via FaceTime, starting promptly at 10am on Saturday, December 12th & last approximately 30 minutes .
    • All patients/siblings must sign liability and waiver release to participate .
    • Every patient must be accompanied by an adult.
    • Once you register, you wiill receive Zoom log-in information.
    • For any comments or questions, please contact Sofia's Hope at (305) 798 - 6725.
  • Participant Information:

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  • Name of Sibling Age

  • Name of Sibling Age

  • Name of Sibling Age

  • Sofia's Hope, Inc.

    Waiver & Liability Release

  • 1. Release and Indemnification. Undersigned (a) unconditionally releases, forever discharges, and agrees not to sue the Sponsor for any claims or causes of action for any liability or loss of any nature, including personal injury, death, and property damage, arising out of or relating to Participant's participation in the activities, including, but not limited to, claims of negligence, breach of warranty, and/or breach of contract the Undersigned may/or will have against the Sponsor; and (b) agrees to indemnify, defend, and hold harmless the Sponsor from and against any liability or damage of any kind and from any suits, claims or demands, including legal fees and expenses, whether or not in litigation, arising out of, or related to, Participant's participation in the activity, whether or not described above, known or unknown, inherent, or otherwise.

    2. Miscellaneous. Undersigned agrees (a) Participant will not engage in any activities prohibited by any applicable laws, statutes, regulations and ordinances; (b) this agreement shall be governed by the laws of the State of FL and the exclusive jurisdiction and venue for any claim shall be located in the state courts located in Miami-Dade County, FL; and (c) this agreement shall be binding upon the subrogors, distributors, heirs, next of kin, executors, and personal representatives of the Undersigned. This RELEASE shall cover all incidents arising at anytime throughout the duration of any and all activities contemplated herein, and shall remain in full force and effect from the date of this RELEASE forever.

    Undersigned parent or legal guardian acknowledges that he/she is not only signing this Agreement on his/her behalf, but that he/she is also signing on behalf of the minor and that the minor shall be bound by all the terms of this agreement. Additionally, by signing this agreement as the parent or legal guardian of a minor, the parent or legal guardian understands that he/she is also waiving rights on behalf of the minor that the minor otherwise may have. The Undersigned parent or legal guardian agrees that, but for the foregoing, the minor would not be permitted to participate in the activities. If signing as the parent or guardian of a minor Participant, signing adult represents that he/she is the legal parent or guardian of the minor Participant.

    PHOTO RELEASE

    Further, Participant consents to and authorizes the reproduction and use by Sponsor of any and all photographs and any other audio-visual materials taken of Participants for promotional materials, new publications, educational activities, exhibitions or for any other use for the benefit of the Sponsor. I have read and understand this RELEASE and voluntarily agree to be legally bound to its terms and conditions.

    I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING LEGAL RIGHTS THAT OTHERWISE MAY EXIST.

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  • I acknowledge that I am of legal age and capacity to enter into this RELEASE.

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