Goochland Day Volunteer Waiver

GOOCHLAND DAY FOUNDATION AND THE COUNTY OF GOOCHLAND, VIRGINIA
PARTICIPANT RELEASE AND WAIVER OF LIABILITY
Volunteer or Participant Information:
First Name
Last Name
ADDRESS
PHONE
BIRTH DATE

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Date
AGE
SHIRT SIZE
Gender

MALEFEMALENONBIONARY
PARTICIPANT RELEASE AND WAIVER OF LIABILITY

1. Goochland Day Volunteer or Participant (“participant”) understands that he/she will not receive any monetary compensation for participating.2. Participant releases and waives all claims or causes of action against Goochland County and Goochland Day Foundation, its divisions and subdivisions, including but not limited to its agents, staff, volunteers and employees (collectively the “County”)for injuries, damages, losses and expenses arising out of Participants participation and engagement in any activity associated. Participants understands that Goochland Games activities may be hazardous or strenuous. Participants hereby expressly and specifically assumes the risk of injury or harm while engaging in Goochland Games activities.3. Participant agrees to indemnify and save harmless, the County and Goochland Day Foundation from any and all claims or causes of action which Participant may make or which might be made on behalf of Participant, or which might be made against the County by others, arising from or related to participant activities, including but not limited to death, injury, pain and suffering, medical costs, lost wages, destruction of property, attorneys’ fees and legal expenses.4. Participant agrees to intentions to neither harm, hinder, nor cheat during their competing time or another teams time while participating in Goochland Day Events. Participant will also be mindful of their language while competing and will keep the games “family friendly”.5.The participant will be in their right mind (negative any substance) and in good health.
I DO HEREBY ACKNOWLEDGE MY PARTICIPATION IN GOOCHLAND DAY HELD MAY 20 OR 21, 2023.
PARTICIPANT SIGNATURE

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IF PARTICIPANT IS UNDER THE AGE OF 18, BOTH THE PARTICIPANT AND HIS/HER/THEIR PARENT/ LEGAL GUARDIAN MUST SIGN.
PARENT/ LEGAL GUARDIAN NAME
PARENT/ LEGAL GUARDIAN PHONE
PARENT/ LEGAL GUARDIAN SIGNATURE

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RELATIONSHIP TO PARTICIPANT
Goochland Day Foundation and spectators may take photographs and video recordings and use such materials for recruitment, advertisement, and marketing purposes. Please initial your understanding that you may get photographed /videoed. PARTICIPANT or PARENT/ LEGAL GUARDIAN INITIALS
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GOOCHLAND DAY FOUNDATION AND THE COUNTY OF GOOCHLAND, VIRGINIA

PARTICIPANT RELEASE AND WAIVER OF LIABILITY

Volunteer or Participant Information:

I DO HEREBY ACKNOWLEDGE MY PARTICIPATION IN GOOCHLAND DAY HELD MAY 20 OR 21, 2023.