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The Children's Lifesaving Foundation
About
Programs
Donate
What's New
Volunteer
Contact
About
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Donate
What's New
Volunteer
Contact
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WAIVER FOR SNAP, INC. EMPLOYEES FOR HOLIDAY VOLUNTEER ACTIVITIES WITH THE CHILDREN'S LIFESAVING FOUNDATION, ON WEDNESDAY, DECEMBER 14TH, 2022: Release of Liability, Assumption of Risk, Indemnification, and Medical Release Agreement for the Children’s Lifesaving Foundation COVID-19 Disclaimer: To my knowledge, I do NOT have the COVID-19 virus, not have I been exposed to anyone with the COVID-19 virus. I am feeling ill or experiencing any of the following symptoms, OR any other symptoms related to the COVID-19 virus, NOR have I been exposed to anyone with the COVID-19 virus within the past four weeks. Fever or chills Cough Shortness of breath or difficulty breathing Fatigue Muscle or body aches Headache New loss of taste or smell Sore throat Congestion or runny nose Nausea or vomiting Diarrhea For participating volunteers: I, the undersigned, ( known hereafter in this document as “Participant”) being at least 18 years of age, desire to participate in activities operated by The Children's Lifesaving Foundation: Each of the undersigned recognizes and acknowledges that there are risks in participating in activities through and/or using facilities or equipment of the Children's Lifesaving Foundation (collectively, the “Activities”), including risk of physical injury, disability, death and/or damage to, or loss of, personal property (“Risks”). Knowing this, on behalf of myself and each above-referenced child, and my/our representatives, heirs, next of kin, successors and assigns (collectively, “Participant”), I agree as follows: ASSUMPTION OF RISK: Each Participant knowingly and freely assumes all of the Risks described above, including those arising from the negligence of the Children's Lifesaving Foundation or its employees, agents, officers or directors (collectively, “the Children's Lifesaving Foundation’s Affiliates, including employees and staff of Capital One and the Capital One Cafe located at 401 Broadway in Santa Monica, CA.) RELEASE OF LIABILITY: Each Participant hereby releases and forever discharges the the Children's Lifesaving Foundation Affiliates from any and all claims, actions, damages, liabilities, costs or expenses and attorneys’ fees (collectively, “Losses”) that are related to, arise out of, or are in any way connected to, the Activities. This release does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that California law does not permit to be excluded by agreement. Each Participant also agrees not to sue or make a claim against the Children's Lifesaving Foundation's Affiliates for death, injuries, loss or harm that occurs during the Activities or that is related in any way to the Activities. INDEMNIFICATION: Each of the undersigned agrees jointly and severally to indemnify, hold harmless, and defend the the Children's Lifesaving Foundation's Affiliates from and against any and all Losses (including for ordinary negligence) which may arise from a breach by me or any Participant of this agreement, from my actions or the actions of any Participant in connection with the Activities or from any lack of capacity on my part to execute this agreement on behalf of Participant. Each of the undersigned agrees, jointly and severally, to be financially responsible for any damage to property Participant may cause during an Activity. EMERGENCY CONSENT: In case of emergency, I hereby give permission to the the Children's Lifesaving Foundation to order treatment for myself. This includes any necessary medical treatment and x-rays. I understand that this authorization is given prior to any need for medical care, but given to avoid unnecessary delay in emergency treatment which the attendant and/or medical professional may deem advisable in the exercise of best judgment. I further agree that the Children's Lifesaving Foundation’s Affiliates shall not be liable under any circumstances to anyone for exercising and/or ordering emergency medical treatment for Participant. PHOTO RELEASE: Thank you for participating with the Children's Lifesaving Foundation, which may take photographs and video capture as a method of recording activities and sharing with the public on our website and in their printed marketing materials. I give my permission to the Children's Lifesaving Foundation to use photographs of me, obtained during this program for any internal, informational, or publicity purposes deemed appropriate by the the Children's Lifesaving Foundation . On behalf of myself and each Participant, I release the the Children's Lifesaving Foundation's Affiliates from any and all liabilities arising from the use of the name or photograph of me in items including, but not limited to, news releases, brochures, and these organizations’ websites and I waive the right to inspect/approve the finished items or to receive remuneration for such uses. GENERAL: This agreement will be governed and construed in accordance with the laws of the State of California. I agree that the purpose of this agreement is that it shall be an enforceable waiver, release and indemnity as broad and inclusive as is permitted by California law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will remain in full force and effect. ACKNOWLEDGEMENT OF UNDERSTANDING: I HAVE CAREFULLY READ the foregoing Release of Liability, Assumption of Risk, Indemnification, and Medical Release Agreement. I understand that this agreement relates to surrendering valuable legal rights of myself and my child(ren) - including the right to sue. I understand, and I agree to be legally bound by all the terms and conditions in this agreement to the extent permitted by law. I agree to follow all laws, rules and guidelines regulating the conduct of the program. I acknowledge and agree that no oral representations, statements, or other inducements to sign this agreement were made apart from what is contained in this agreement. I further acknowledge that this is the complete and entire agreement and that I am signing this agreement freely, fully and voluntarily. Signing this agreement acts as a digital signature: Digital Signature of Participating Volunteer:
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Thank you so much! We can’t wait to see you on December 14th…:)

Very best wishes,

The CLF

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