In order to participate in this program, you must read and sign our Release of Liability for Salted Roots, and the Social Good Fund (fiscal sponsor of Salted Roots).
In consideration of being allowed to participate in any way in Salted Roots programs, related events, and activities the undersigned (or, if the participant is a minor, the person with the authority to consent on their behalf) acknowledges, appreciates, and agrees that:
1. The risk of injury from the activities involved in these programs is significant, including potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury to myself and others does exist, and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, even if arising from the negligence of the release or others, and assume full responsibility for my participation, and
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If I observe any unusual significant concern in my readiness for participation and/or in the program itself, I will remove myself from participation and bring such to the attention of the nearest official immediately, and
4. For myself and on behalf of my/our heirs, assigns, personal representatives, and next of kin HERBY RELEASE Salted Roots / Social Good Fund its officers, officials, agents, and/or employees, other participants, sanctioned events, sanctioned organizations, volunteers, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, city and county districts of premises used to conduct the event (Releasees), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law.
5. I, for myself and on behalf of my/our heirs, assigns, personal representatives, and next of kin, HERBY INDEMNIFY AND HOLD HARMLESS all of the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent of the law.
Medical Consent & Acknowledgement
I hereby authorize and give permission that myself / the participant may be given emergency treatment including first aid and CPR by qualified Salted Roots / Social Good Fund staff and volunteers. I also give permission for myself/the participant to be treated by any physician, hospital, health care provider, or other medical personnel selected by the staff of Salted Roots to provide prompt medical services when needed. I agree that once the participant is in the care of medical personnel or a medical facility, Salted Roots / Social Good Fund shall have no further responsibility for the participant and I agree to pay all costs associated with such medical care and transportation.
If I cannot be contacted, I further authorize consent to the medical, surgical, and hospital care treatment procedures to be performed for myself/the participant by a physical, hospital, health care provider, or other medical personnel selected by Salted Roots / Social Good Fund staff when deemed necessary or advisable by the medical personnel to safeguard the participant’s health. I wave my right of informed consent to such treatment.
The health history and relevant medical needs info provided to Salted Roots / Social Good Fund is correct and not falsified to the best of my knowledge.
I have read this release of liability, assumption of risk, and medical consent agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement. I attest that I am physically able to participate in this activity, and understand that it is my responsibility to communicate any relevant physical limitations to the Salted Roots / Social Good Fund staff members BEFORE participating in the activity.