Scroll to see more shifts & complete your submission at the bottom of the page.Click here to scroll down.
Waiver
Who is this registration for?
Please provide a name and email address for a parent or guardian, they will need to sign off for you.
Parent/guardian first name:
Parent/guardian email:
Moving Day® Walk involves walking and related activities, much of which occurs outside on public streets and sidewalks, requiring participants and volunteers to navigate traffic, road conditions, other participants, volunteers and other pedestrians and cyclists, as well as dealing with possible adverse weather conditions. This involves risks such as, but not limited to, falls, being struck by cars or other vehicles or bicycles, colliding with other persons, or exposure to communicable diseases (including COVID-19), any of which may result in property loss, personal injury, illness, or even death. Participants are permitted to have their dogs accompany them in this event, which presents risks of being bitten, knocked down, or tripped, which also may cause bodily injury or death. In consideration of being allowed to participate in and/or volunteer for this event, I hereby expressly assume all such risks.
I am solely responsible for my own health and safety. I represent that I am healthy, physically fit, and medically able to participate in this event.
I am not ill or experiencing any symptoms of illness such as a fever, cough, or shortness of breath. If I develop these symptoms, I agree that I will not attend the Moving Day Walk.
I have not: (i) traveled internationally in the past 14 days, (ii) traveled to an area highly impacted by COVID-19 within the United States in the past 14 days, (iii) to my knowledge been exposed to a person with a confirmed or suspected case of COVID-19, or (iv) been diagnosed with COVID-19, or, if I have been, I have fully recovered and been cleared as noncontagious by state or local public health authorities.
I hereby for myself, my family, my heirs, executors and administrators, release from liability, waive all claims against, hold harmless, and agree not to sue the Parkinson’s Foundation, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, individually and collectively, for any harm, damage, injury, illness, or death arising out of my participation in/volunteering for this event and related activities EVEN IF RESULTING FROM THE NEGLIGENCE OF THE PARKINSON’S FOUNDATION OR OTHER ABOVE PERSONS.
I grant full permission to the organizers of this event to photograph and videotape me in connection with the event and to use my image and name in any and all media, including for marketing and promotional purposes.
If any term of this Agreement is held illegal, unenforceable, or in conflict with law, the validity of the remaining portions shall not be affected thereby.
Moving Day® Walk involves walking and related activities, much of which occurs outside on public streets and sidewalks, requiring participants and volunteers to navigate traffic, road conditions, other participants, volunteers and other pedestrians and cyclists, as well as dealing with possible adverse weather conditions. This involves risks such as, but not limited to, falls, being struck by cars or other vehicles or bicycles, colliding with other persons, or exposure to communicable diseases (including COVID-19), any of which may result in property loss, personal injury, illness, or even death. Participants are permitted to have their dogs accompany them in this event, which presents risks of being bitten, knocked down, or tripped, which also may cause bodily injury or death. In consideration of being allowed to participate in and/or volunteer for this event, I hereby expressly assume all such risks.
I am solely responsible for my own health and safety. I represent that I am healthy, physically fit, and medically able to participate in this event.
I am not ill or experiencing any symptoms of illness such as a fever, cough, or shortness of breath. If I develop these symptoms, I agree that I will not attend the Moving Day Walk.
I have not: (i) traveled internationally in the past 14 days, (ii) traveled to an area highly impacted by COVID-19 within the United States in the past 14 days, (iii) to my knowledge been exposed to a person with a confirmed or suspected case of COVID-19, or (iv) been diagnosed with COVID-19, or, if I have been, I have fully recovered and been cleared as noncontagious by state or local public health authorities.
I hereby for myself, my family, my heirs, executors and administrators, release from liability, waive all claims against, hold harmless, and agree not to sue the Parkinson’s Foundation, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, individually and collectively, for any harm, damage, injury, illness, or death arising out of my participation in/volunteering for this event and related activities EVEN IF RESULTING FROM THE NEGLIGENCE OF THE PARKINSON’S FOUNDATION OR OTHER ABOVE PERSONS.
I grant full permission to the organizers of this event to photograph and videotape me in connection with the event and to use my image and name in any and all media, including for marketing and promotional purposes.
If any term of this Agreement is held illegal, unenforceable, or in conflict with law, the validity of the remaining portions shall not be affected thereby.
I have read, understand, and agree to the terms of this Waiver.
BY SIGNING YOU MAY BE GIVING UP IMPORTANT LEGAL RIGHTS. PLEASE READ AND BE CERTAIN YOU UNDERSTAND EVERYTHING BEFORE SIGNING.
Moving Day® Walk involves walking and related activities, much of which occurs outside on public streets and sidewalks, requiring participants and volunteers to navigate traffic, road conditions, other participants, volunteers and other pedestrians and cyclists, as well as dealing with possible adverse weather conditions. This involves risks such as, but not limited to, falls, being struck by cars or other vehicles or bicycles, colliding with other persons, or exposure to communicable diseases (including COVID-19), any of which may result in property loss, personal injury, illness, or even death. Participants are permitted to have their dogs accompany them in this event, which presents risks of being bitten, knocked down, or tripped, which also may cause bodily injury or death. In consideration of being allowed to participate in and/or volunteer for this event, I hereby expressly assume all such risks.
I am solely responsible for my own health and safety. I represent that I am healthy, physically fit, and medically able to participate in this event.
I am not ill or experiencing any symptoms of illness such as a fever, cough, or shortness of breath. If I develop these symptoms, I agree that I will not attend the Moving Day Walk.
I have not: (i) traveled internationally in the past 14 days, (ii) traveled to an area highly impacted by COVID-19 within the United States in the past 14 days, (iii) to my knowledge been exposed to a person with a confirmed or suspected case of COVID-19, or (iv) been diagnosed with COVID-19, or, if I have been, I have fully recovered and been cleared as noncontagious by state or local public health authorities.
I hereby for myself, my family, my heirs, executors and administrators, release from liability, waive all claims against, hold harmless, and agree not to sue the Parkinson’s Foundation, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, individually and collectively, for any harm, damage, injury, illness, or death arising out of my participation in/volunteering for this event and related activities EVEN IF RESULTING FROM THE NEGLIGENCE OF THE PARKINSON’S FOUNDATION OR OTHER ABOVE PERSONS.
I grant full permission to the organizers of this event to photograph and videotape me in connection with the event and to use my image and name in any and all media, including for marketing and promotional purposes.
If any term of this Agreement is held illegal, unenforceable, or in conflict with law, the validity of the remaining portions shall not be affected thereby.