Participant First Name: Participant Last Name:
Is the Participant under the age of 18? If so, a parent or guardian must complete this waiver.
GENERAL RELEASE
In consideration of The Joe Martin ALS Foundation’s permitting me (my child who is under 18) to participate in the Annual ALS Rivalry Softball Challenge to be held on Saturday, April 29th, at Tuckaseegee Dream Fields, I hereby, and for my (and my child’s) heirs, executors, administrators, assigns, and all legal guardians, WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS OF ANY NATURE, FOUNDED IN WHOLE OR IN PART UPON ANY TYPE OF NEGLIGENCE that I (and my child) may have against The Joe Martin ALS Foundation, its directors, officers, employees, counselors, volunteers, agents, chapters, assignees, licensees, and cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns (the ‘Released Parties’) arising out of resulting from any and all injuries or damages of any nature, including death, which I (or my child) may suffer while taking part in the Annual ALS Rivalry Softball Challenge, pre-event warm-up and practice, or any activities connected with this event. This release shall be binding upon me (my child), my (my child’s) heirs, executors, administrators, assigns (and all legal guardians of my child).
I understand and agree to the general release as stated above
USE OF LIKENESS, PHOTO AND FILM CONSENT
In consideration of The Joe Martin ALS Foundation’s permitting me (my child) to participate in the Annual ALS Rivalry Softball Challenge, I hereby give my consent to The Joe Martin ALS Foundation, its officers, directors, employees, agents, chapters, assignees, licensees, volunteers, and cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns to use my (my child’s) photo or film of me (my child) in any medium, including, without limitation, The Joe Martin ALS Foundation’s websites and pages on social networking websites (e.g. Facebook), for use in editorial, educational, promotional, and advertising purposes, media coverage, for the solicitation of contributions, and for any other purpose in furtherance of the corporate purposes and objectives of The Joe Martin ALS Foundation, without payment to me or my child.
This consent shall be binding upon me (my child), my (my child’s) heirs, executors, administrator, assigns, and all legal guardians (of my child).
I understand and agree to the photo consent agreement as stated above: