Wakefield Rotary Club of Wake Forest WAIVER AND RELEASE (Adult)

I fully understand that training for and taking part in activities for the Wakefield Rotary Club of Wake Forest may cause accidents, illness, or serious injury. I am voluntarily taking part in volunteer projects ("event")sponsored by the Rotary Club with a complete understanding of the risks associated with participation in

I further acknowledge that this event requires participants to be in proper physical condition. By signing this Waiver and Release Form, I declare that I am medically able, trained, physically fit, and capable of participating in the event.

I have read and understand and agree to follow the rules of the event. In consideration for being allowed to take part in the event, I agree to release and hold harmless the premises owner, event organizers, and event sponsors, including the Rotary Club, its affiliates, officers, directors, volunteers, agents, employees and representatives, from liability for any injuries and/or illnesses that may directly or indirectly result from my actions or from the negligence of other participants in the event, and/or from the negligence of the premises owner, event organizers, and event sponsors, including the Rotary Club, its affiliates, officers, directors, volunteers, agents, employees and representatives. I acknowledge full and sole responsibility for medical expenses that I may incur because of any injury and/or illness related to my participation in the event. I understand and agree that this Waiver and Release is binding.

I grant my consent and permission to use my name, photograph, videotape, motion picture recording, voice, or likeness for Rotary purposes, including pre and post event publicity.

I grant my consent to receive information from Rotary Club in accordance with Rotary Club's Privacy Policy.

I have carefully read this Waiver and Release and fully understand its contents. By my signature below, I consent and agree to the terms of this Waiver and Release.