Field Day & Picnic Waiver Form
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Personal & Contact Information
Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
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First Name
Last Name
Release
I, undersigned, agree with the following statements
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I voluntarily choose to participate in the BMORE Good Co. Field Day & Picnic (“Event”), including its games, races, relays, warm-ups, demonstrations, recreational activities, and related activities.
I understand that participation may involve physical activity and risks including, but not limited to:• Running, jumping, pulling, lifting, balancing, crawling, and falling• Three-legged races, sack races, tug-of-war, obstacle courses, relay races, water activities, balloon games, hula-hoop activities, cornhole, and similar games• Contact or collisions with other participants, equipment, or objects• Slips, trips, falls, muscle strains, dehydration, heat-related illness, allergic reactions, and other injuries• Outdoor conditions, including uneven ground, weather, insects, and exposure to the sun or heat• Serious injury, illness, permanent disability, property loss, or, in rare circumstances, death.
I understand that BMORE Good Co. cannot eliminate every risk associated with the Event. I knowingly and voluntarily accept all known and unknown risks connected with my participation.
I confirm that I am physically able to participate safely. I am responsible for deciding which activities are appropriate for me and for informing Event staff of any health condition, injury, allergy, or limitation that may affect my participation.
I agree to follow all Event instructions and safety rules. I understand that I may stop participating at any time and that BMORE Good Co. may remove me from an activity if my conduct creates a safety concern for myself or others
To the fullest extent permitted by Maryland law, I release and hold harmless BMORE Good Co., its founder, directors, officers, employees, volunteers, contractors, collaborators, sponsors, vendors, representatives, and agents, as well as the Event venue and property owner, from claims arising from my participation in or presence at the Event, including claims involving ordinary negligence.This release does not apply to conduct that cannot legally be released under applicable law.
If I become injured or ill and cannot provide consent, I authorize Event representatives to contact emergency services and arrange reasonably necessary first aid or emergency medical care.
I understand that BMORE Good Co. does not provide medical insurance for participants. I accept responsibility for medical expenses resulting from my participation, except where prohibited by law.
I am responsible for my clothing, phone, vehicle, equipment, and other personal property. BMORE Good Co. is not responsible for personal items that are lost, stolen, or damaged during the Event, except where liability cannot legally be waived.
By signing below, I confirm that:• I have carefully read and understand this waiver.• I have had an opportunity to ask questions before signing.• I understand that I am giving up certain legal rights.• I am signing voluntarily and without pressure.• The information I provided is accurate.• I am at least 18 years old, or my parent or legal guardian is signing for me.
PHOTO, VIDEO, AND MEDIA RELEASE
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I grant BMORE Good Co., its representatives, collaborators, and authorized partners permission to photograph, film, record, and interview me during the Event.
I authorize BMORE Good Co. to use, reproduce, edit, publish, and share my photograph, image, likeness, voice, or recorded statements for marketing, promotional, fundraising, educational, website, social media, print, and other nonprofit-related purposes.
I understand that these materials may be shared publicly and that I will not receive payment or compensation for their use. I waive the right to inspect or approve the finished photographs, videos, recordings, or promotional materials.
This permission has no expiration date unless I revoke it in writing. I understand that revocation will apply only to future use and may not apply to materials that have already been published, distributed, or produced.
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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I have read, understand, and voluntarily agree to the Participant Liability Waiver and Release above.
Signature
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Submit
Submit
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