ACCIDENT WAIVER AND RELEASE OF LIABILITY

I recognize and acknowledge that there are inherent risks in my presence and participation in the St. Vincent de Paul Friends of the Poor Walk©. I acknowledge that this Accident Waiver and Release of Liability form will be used by the event holders, sponsors, and organizers, in which I may participate, and that it will govern my actions and responsibilities at said event. In consideration of my registration and participation in this event, I hereby take action for myself, my executors, heirs, next of kin, successors, and assigns as follows.

(A)Waive, Release, and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft, or actions of any kind, which may hereafter accrue to me or my traveling to and/or from the event, the Society of St. Vincent de Paul, their directors, officers, employees, volunteers, representatives, agents; and event holders, sponsors, directors, and volunteers; and the City of Marlborough.

(B)Indemnify and hold harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals and entities as a result of any of my actions during this event.

I am aware the Society of St. Vincent de Paul does not provide health and accident coverage for me, and it is my responsibility to pay any medical bills from injuries sustained while participating in the Friends of the Poor© Walk.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this event.

I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders producers sponsors organizations.