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TEAM LEADERS
AND
LOGISTICS TEAM

WAIVER OF LIABILITY AND INDEMNITY AGREEMENTS


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Waiver Information (Liability)

SPECIAL OLYMPICS
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
AND PARENTAL CONSENT AGREEMENT ("AGREEMENT")


In consideration of participating in the
Law Enforcement Torch Run for Special Olympics 2015 Final Leg (“2015 Final Leg or “event”), I represent that I understand the nature of the 2015 Final Leg and that I am and/or my minor child is qualified, in good health, and in proper physical condition to participate in such event. I acknowledge that the event will be conducted over public roads and facilities open to the public during the event and upon which traffic hazards are to be expected. I acknowledge that if I and/or my minor child believe event conditions are unsafe, I and/or my minor child will immediately discontinue participation in the event.

I fully understand that the 2015 Final Leg
involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the Releasees named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I and/or my minor child incur as a result of my and/or my minor child’s participation in the event.

I hereby release, discharge, and covenant not to sue Special Olympics Inc. (“Special Olympics”), the 2015 Special Olympics World Summer Games, its administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the event takes place (each considered one of the "Releasees” herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my and/or my minor child's behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost that any may incur as the result of such claim.

I have read this RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, AND PARENTAL CONSENT AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this Agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.


PLEASE REFER TO THE ORIGINAL DOCUMENT CONTAINED IN THE DOCUMENT LIBRARY

Waiver Information (Use of name and Likeness)

SPECIAL OLYMPICS
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
AND PARENTAL CONSENT AGREEMENT ("AGREEMENT")


AUTHORIZATION TO USE NAME AND LIKENESS


I hereby authorize Special Olympics to use my name, likeness, statements and other identifying information worldwide, in perpetuity, including in photographs, video and recordings for the purposes of publicizing and promoting Special Olympics, the Law Enforcement Torch Run activities, including the 2015 Final Leg, and to raise funds for Special Olympics. This authorization includes use in any media, including but not limited to print and on the World Wide Web. I understand that I will not be compensated for such use and that Special Olympics is not obligated to use my name, likeness or statements or other identifying information.


PLEASE REFER TO THE ORIGINAL DOCUMENT CONTAINED IN THE DOCUMENT LIBRARY

Waiver Questionnaire