RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT. BY CHECKING THE WAIVER BOX BELOW YOU WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY
Event Name & Date: Peoria Movies in the Park | 1/1/23 - 12/31/23
Event Host: Times Two Entertainment LLC, City of Peoria
In consideration of my being permitted to participate in the Event referenced above, wherever the Activity may occur, I hereby attest that, after reading this Form completely and carefully, I acknowledge that my participation in the event is entirely voluntary, and I further understand and agree as follows: ASSUMPTION OF RISKS: I hereby assume all of the risks of participating in all activities at in conjunction with the aforementioned event & event hosts, including but not limited to, any risks that may arise from the negligence or carelessness of the event hosts, their subsidiaries, affiliates, directors, officers, employees, partners, contractors, agents, representatives, volunteers, successors and assigns (collectively, the “Host”) and/or from dangerous or defective equipment or property owned, maintained, operated or controlled by the Host.
I understand that incidental to my participation in the event, I may be engaging in activities that involve the risk of serious personal injury, illness, permanent disability, dismemberment, and death, and that such participation may also involve the risk of severe economic and property loss and damage. I understand that these risks may result from the actions, negligence, and failure to act of myself and others and from the condition of any property, facilities or equipment used. I also understand that there may be risks involved, which are not known to me or to the Released Parties, including but not limited to Covid-19 transmission and/or contraction at the time of the event. Despite knowing these risks, I hereby elect to voluntarily participate in the event and agree to assume all related risks, including without limitation those enumerated above, and accept personal responsibility for any injury of any kind or nature that my property or I may suffer arising out of or in connection with my participation in the event.
PHYSICAL CONDITION/MEDICAL AUTHORIZATION: I hereby certify that I am physically fit for participation in the event, have the skill level required in conjunction with the event activities, and have not been advised otherwise. I agree that before I participate in the event & event activities, I will inspect all related facilities and equipment. In connection with any injury sustained or illness or medical conditions experienced during my attendance in connection with the event & event activities, I authorize any emergency first aid, medication, medical treatment or surgery deemed necessary by the attending medical personnel if I am not able to act on my own behalf. Additionally, I authorize medical treatment for me, at my cost, if the need arises; however, I acknowledge that the Released Parties shall have no duty, obligation or liability arising out of the provision of, or failure to provide, medical treatment.
I agree to allow Times Two Entertainment to use and reproduce the my likeness and any photographic images, electronic or video image taken or may be taken at the venue/event. All photographic images, electronic video, or sound recordings, together with their prints or reproductions, shall belong to Times Two Entertainment and the as such I assign all such copyright rights to Times Two Entertainment LLC.
In consideration for permitting me to engage in or participate in the event & event activities, I agree for myself, my executors, administrators, heirs, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE the Host from any and all liability, including but not limited to, liability arising from the negligence of the Host, for my death, disability, personal injury, property damage, property theft, or any other damage or actions of any kind which may affect or impact me in any way arising from the event.
(B) I WAIVE, RELEASE any copyright rights of any/all photographic images, electronic video, or sound recordings, together with their prints or reproductions to Times Two Entertainment LLC.
(C) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the Host from any and all liabilities or claims made as a result of my participation in the event, whether caused by the negligence of the Host or otherwise.
(D) I INDEMNIFY, DEFEND AND HOLD HARMLESS the Host from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to Covid-19.
I CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE, OR HAVE MY PARENT/GUARDIAN’S PERMISION (LISTED BELOW) AND HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
*If this waiver is delivered by any electronic means whatsoever and said delivery shall be of the same force and effect as the delivery of an original signature.