AGREEMENT TO INDEMNIFY: I, the undersigned applicant, desire entry into the Greater Othello Chamber of Commerce 4th of July Parade and am fully aware of the fact that there are special dangers and risks inherent in this activity, including but not limited to, the risk of serious physical injury, death or other harmful consequences that may arise or result directly or indirectly to the company, group, or organization listed above or as a private individual entry from participation in this activity. Being fully informed as to these risks and in consideration of being allowed to participate in Greater Othello Chamber of Commerce sponsored activities, I/we hereby assume all risk of injury, damage and harm to any participant arising from such activities or use. I/we also herby individually and on behalf of my/our heirs, executors and assigns, release, indemnify, defend and hold harmless the Greater Othello Chamber of Commerce, its officials, employees, volunteers, agents, and the City of Othello, and waive any right of recovery that I/we might have to bring a claim or a lawsuit against the Greater Othello Chamber of Commerce and City of Othello for any personal injury, death or other consequences occurring out of my/our voluntary participation in this activity. This agreement is executed by the authorized representative of the respective organization and shall serve to bind all persons associated with the aforementioned parade unit. Failure to adhere to this agreement, the Parade Rules and Regulations, or the direction of parade personnel may result in immediate and/or future removal from the Greater Othello Chamber of Commerce 4th of July Parade. I, the undersigned, acknowledge receipt of and compliance with Application Instructions, Rules and Regulations, and the above agreement.
By submitting this form, you are in agreement to the above statements.