( X )
Event entry for 1 - (Entry includes dinner)
2 Raffle Tickets & 1 Event Entry
2 Raffle Tickets & 1 event entry (entry includes dinner) . Additional raffle/event tickets must be purchased separately.
Ticket(s) only - event entry not included. Winner need not be present to win
5 Pack of Tickets
5 Raffle Tickets for the price of 4! Event Entry not included. Winner need not be present.
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Raffle Rules VCFD Widows, Orphans, and Assistance Fund, a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code, is conducting this Raffle to raise funds for charitable purposes. The Rules and Regulations of the Raffle are set forth below. By purchasing a Raffle ticket the purchaser agrees to be bound by these rules and regulations. VCFD WOAF's interpretation and application of these rules and regulations shall be final. VCFD WOAF reserves the right to reject any entry form that is submitted with payment that does not constitute “good funds”. Prior to the prize drawing, VCFD WOAF will make a reasonable effort to notify the individual and/or entity that submits such an entry form or one which has been rejected because of payment issues that the entry has been rejected by attempting to make contact through the information provided at the time of submitting the purchase request. All orders for tickets must be received and/or purchased by the indicated deadline. VCFD WOAF assumes no responsibility for lost, late, misdirected or non-delivered mail or fax messages, or any other failure to receive orders or deliver receipts prior to the drawing deadlines. By entering this raffle, entrants accept and agree (1) to be bound by all the rules, limitations and restrictions set forth here and (2) that their names and/or likenesses may be disclosed to and used by the news media and may otherwise be used by VCFD WOAF for publicity purposes and in lists of prize winners to be published in area newspapers and announced on the BGB raffle website. Other rules and regulations may apply. Please contact VCFD WOAF if you have questions. VCFD WOAF's interpretation and application of the rules and regulations shall be final. By entering this raffle, each participant releases VCFD WOAF, its directors, officers, employees and agents from any and all liability for injuries, losses or damages of any kind caused by participating in the raffle or winning and of the prize(s) or resulting from acceptance, possession, use or misuse of the prize(s), and the winner agrees to indemnify and hold VCFD WOAF harmless from any and all losses, damages, rights, claims and actions of any kind rising in connection with or as a result of participating in the raffle or the winner’s acceptance or use of the prize. A raffle participant’s sole and exclusive remedy for VCFD WOAF's breach shall be limited to the return of the purchase price paid for his or her raffle ticket(s). In no event shall VCFD WOAF, its directors, officers, employees, agents or representatives be liable to any party for any loss or injuries to earnings, profits or goodwill, or for any incidental, special, punitive or consequential damages of any person or entity whether arising in contract, tort or otherwise, even if advised of the possibility of such damages. By purchasing a raffle ticket and choosing to participate in the raffle, each raffle participant acknowledges and agrees that VCFD WOAF has the right, in its sole discretion, to elect not to proceed with the raffle for any reason whatsoever or for no reason, and in such event, a participant’s sole and exclusive remedy shall be to receive a refund of the full price paid by such participant for each raffle ticket purchased, without interest.
Covid-19 Safety Acknowledgement - Liability Waiver and Release
COVID-19 Safety Acknowledgment -- Liability Waiver andRelease of ClaimsCOVID-19 SAFETY INFORMATION:While participating in events held or sponsored by the Ventura County FireDepartment Widows, Orphans, and Assistance Fund, Inc., (“VCFD WOAF”),consistent with CDC guidelines, participants are encouraged to practice handhygiene, “social distancing” and wear face coverings to reduce the risks ofexposure to COVID-19. Because COVID-19 is extremely contagious and is spread mainlyfrom person-to-person contact, VCFD WOAF has put in place preventative measuresto reduce the spread of COVID-19. However, VCFD WOAF cannot guarantee that itsparticipants, volunteers, partners, or others in attendance will not becomeinfected with COVID-19.In light of the ongoing spread of COVID-19, individuals who fall within any ofthe categories below should not engage in VCFD WOAF events and/or other face toface fundraising activities. By attending an VCFD WOAF event, you certify thatyou do not fall into any of the following categories: 1. Individuals who currently or within the past fourteen(14) days have experienced any symptoms associated with COVID-19, which includefever, cough, and shortness of breath among others;2. Individuals who have traveled at any point in the pastfourteen (14) days either internationally or to a community in the U.S. thathas experienced or is experiencing sustained community spread of COVID-19;or 3. Individuals who believe that they may have been exposedto a confirmed or suspected case of COVID-19 or have been diagnosed withCOVID-19 and are not yet cleared as non-contagious by state or local publichealth authorities or the health care team responsible for theirtreatment. DUTY TO SELF-MONITOR:Participants and volunteers agree to self-monitor for signs and symptoms ofCOVID-19 (symptoms typically include fever, cough, and shortness of breath)and, contact VCFD WOAF at email@example.com if he/she experiences symptoms ofCOVID-19 within 14 days after participating or volunteering with VCFD WOAF.LIABILITY WAIVER AND RELEASE OF CLAIMS:I acknowledge that I derive personal satisfaction and a benefit by virtue of myparticipation and/or voluntarism with VCFD WOAF, and I willingly engage in VCFDWOAF events and/or other fundraising activities (the “Activity”).RELEASE AND WAIVER. I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE ANY AND ALL LIABILITY, CLAIMS,AND DEMANDS OF WHATEVER KIND OR NATURE AGAINST THE VENTURA COUNTY FIREDEPARTMENT WIDOWS, ORPHANS, AND ASSISTANCE FUND AND ITS AFFILIATED PARTNERS ANDSPONSORS, INCLUDING IN EACH CASE, WITHOUT LIMITATION, THEIR DIRECTORS,OFFICERS, EMPLOYEES, VOLUNTEERS, AND AGENTS (THE “RELEASED PARTIES”), EITHER INLAW OR IN EQUITY, TO THE FULLEST EXTENT PERMISSIBLE BY LAW, INCLUDING BUT NOTLIMITED TO DAMAGES OR LOSSES CAUSED BY THE NEGLIGENCE, FAULT OR CONDUCT OF ANYKIND ON THE PART OF THE RELEASED PARTIES, INCLUDING BUT NOT LIMITED TODEATH, BODILY INJURY, ILLNESS, ECONOMIC LOSS OR OUT OF POCKET EXPENSES, OR LOSSOR DAMAGE TO PROPERTY, WHICH I, MY HEIRS, ASSIGNEES, NEXT OF KIN AND/OR LEGALLYAPPOINTED OR DESIGNATED REPRESENTATIVES, MAY HAVE OR WHICH MAY HEREINAFTERACCRUE ON MY BEHALF, WHICH ARISE OR MAY HEREAFTER ARISE FROM MY PARTICIPATIONWITH THE ACTIVITY.ASSUMPTION OF THE RISK. I acknowledge and understandthe following:1. Participation includes possible exposure to and illnessfrom infectious diseases including but not limited to COVID-19. Whileparticular rules and personal discipline may reduce this risk, the risk ofserious illness and death does exist.2. I knowingly and freely assume all such risks related toillness and infectious diseases, such as COVID-19, even if arising from thenegligence or fault of the Released Parties; and3. I hereby knowingly assume the risk of injury, harm andloss associated with the Activity, including any injury, harm and loss causedby the negligence, fault or conduct of any kind on the part of the ReleasedParties.MEDICAL ACKNOWLEDGMENT AND RELEASE. Iacknowledge the health risks associated with the Activity, including but notlimited to transient dizziness, lightheaded, fainting, nausea, muscle cramping,musculoskeletal injury, joint pains, sprains and strains, heart attack, stroke,or sudden death. I agree that if I experience any of these or any othersymptoms during the Activity, I will discontinue my participation immediatelyand seek appropriate medical attention. I DO HEREBY RELEASE AND FOREVERDISCHARGE THE RELEASED PARTIES FROM ANY CLAIM WHATSOEVER WHICH ARISES OR MAYHEREAFTER ARISE ON ACCOUNT OF ANY FIRST AID, TREATMENT, OR SERVICE RENDERED INCONNECTION WITH MY PARTICIPATION IN THE ACTIVITY. As a participant, volunteer, or attendee, You recognize thatyour participation, involvement and/or attendance at any Ventura County FireDepartment Widows, Orphans, and Assistance Fund fundraising event or activity(“Activity”) is voluntary and may result in personal injury (including death)and/or property damage. By attending, observing or participating in theActivity, You acknowledge and assume all risks and dangers associated with yourparticipation and/or attendance at the Activity, and You agree that: (a) the VenturaCounty Fire Department Widows, Orphans, and Assistance Fund, Inc. (b) theproperty or site owner of the Activity, and (c) all past, present and futureaffiliates, successors, assigns, employees, volunteers, vendors, partners,directors, and officers, of such entities (subsections (a) through (c),collectively, the "Released Parties"), will not be responsible forany personal injury (including death), property damage, or other loss sufferedas a result of your participation in, attendance at, and/or observation of theActivity, regardless if any such injuries or losses are caused by thenegligence of any of the Released Parties (collectively, the "ReleasedClaims"). BY ATTENDING AND/OR PARTICIPATING IN THE ACTIVITY, YOU AREDEEMED TO HAVE GIVEN A FULL RELEASE OF LIABILITY TO THE RELEASED PARTIES TO THEFULLEST EXTENT PERMITTED BY LAW.
I have read and agree to raffle terms.
Pick up - No shipping of prizes
I understand that if I win I am responsible for the pick up and transport of my prize(s).
COVID-19 SAFETY ACKNOWLEDGEMENT
I have read and fully understand the contents. I agree to the terms and conditions stated.
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