I, “Participant," acknowledge that I have voluntarily applied to participate in the THANKSIVING FOOD BASKET DISTRIBUTION Event ("Event”) hosted by Childhood Cancer Foundation of Southern California, Inc. (“CCFSC”) at The Mountain View Plaza ("MVP") and at the Bernabe Community Center ("Bernabe"). As consideration for being permitted to participate in the Event and to use the premises and facilities, I forever release CCFSC, MVP, Bernabe, Loma Linda University Shared Services and Loma Linda University Health any affiliated organization, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “Releasee”) from any and all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have or may have in the future, for injury, death or property damage, related to (i) my participation in the Event, (ii) the negligence or other acts, whether directly connected to the Event or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the Event. I also agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make any claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release. I AM AWARE THAT THESE ACTIVITIES CAN BE HAZARDOUS AND THAT I COULD BE INJURED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH THE KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT IT IS A FULL RELEASE OF LIABILITY AND SIGN IT OF MY OWN FREE WILL.
If you are under 18 years of age, you and your parent or guardian must sign this form where indicated.