• Thumbs Up Adulting Participant Sign Up & Waiver  

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • The Adulting program meets once per quarter throughout the year on Thursdays, from 6:00-7:30 PM. Please select the dates you plan to attend.*
  • Emergency Contact

  • Format: (000) 000-0000.
  • Consent & Release of Liability

  • Community Expectations  

    The following rules and guidelines are equally binding on volunteers and students. Non-Negotiable Rules 1. No use of illicit drugs or alcohol. 2. No sexual misconduct (defined as exposure, touching, or inappropriate reference to body areas normally cover by undergarments), including no sexual promiscuity/PDA 3. Smoking, vaping, and the use of tobacco products are not allowed on the premises or to, from, or during any trip. 4. Participants will not break any American laws in the United States or any other country. 5. Participants will adhere to all internet rules and restrictions that have been set up by Thumbs Up. 6. Participants will be respectful, encouraging, and will maintain a positive attitude toward others at all times. 7. Participants will be respectful of both our space and property as well as the property of others. 8. Participants will avoid the use of foul language, cursing, or any speech (including “humor”) which puts down, makes fun of, or stereotypes other persons or groups. Participant/Volunteer’s Statement: By signing this form, I pledge to honor and  respect others during this activity by following the rules and guidelines printed above. I  understand that I cannot participate in the activity unless this completed form is on file. 
  • Photo Release  

    I agree that Thumbs Up may photograph and record my likeness and activities during Thumbs Up activities. I grant the following rights to Thumbs Up: permission to use and re-use, publish and re-publish. Use of the images for editorial commercial, advertising, and any other purpose may be done in any medium now existing or subsequently developed, on the Thumbs Up website and on the  Internet, and worldwide perpetuity for the purposes stated above. Names of those photographed will not be published. I waive my right to inspect or approve any editorial text or copy that is used in connection with the Images and relate and discharge Thumbs Up from any and all claims arising out of the use of the Images for the purposes described above, including any claims for libel, invasion of privacy, or other tortious act. I have read the foregoing. I fully understand its contents, I understand that this agreement does not expire and I confirm my agreement by signing below. I am over the age of 18 and have legal capacity to sign the release. 
  • Liability Release

    I,  the undersigned, do hereby release, forever discharge and agree to hold  harmless Thumbs Up High 5K, Inc, it's directors, employees and volunteers (collectively herein the “staff”) from any an all liability, claims or demands for accidental personal injury, sickness or death, as well as  property damage and expenses, of any nature whatsoever which may be  incurred by the undersigned and the participant while involved in the activities. Furthermore, I hereby assume all risk of accidental personal injury, sickness or death, damage and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify Thumbs Up High 5K, Inc. for any liability sustained by said “Staff” as the result of the negligent, willful or intentional acts of participant, including expenses incurred attendant thereto. 
  • Today's Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: