The WAIVER & RELEASE FORM must be completed, signed and dated or registration form will be denied and returned to contact person.
“As a participant in the LIGHT UP THE NIGHT PARADE, the undersigned recognizes and acknowledges that there are certain risks of personal injury, and the undersigned, individually and as agent for all who are involved with this particular entry, agrees to assume the full risk of any injuries, including death, damages or loss which may be sustained as a result of participation in the LIGHT UP THE NIGHT PARADE.”
“The undersigned, individually and as agent for all who are involved with this particular entry, agrees to waive and relinquish all claims the undersigned may have a result of participating in the LIGHT UP THE NIGHT PARADE against the Union County Chamber of Commerce, the City of Anna and their respective officers, agents, servants and employees; and does hereby fully release and discharge the Union County Chamber of Commerce, the City of Anna and their respective officers, agents, servants and employees from any and all claims from injuries, including death, damages or loss which the undersigned may have or which may accrue to the undersigned on account of participating in the LIGHT UP THE NIGHT PARADE.”
“The undersigned, individually and as agent for all who are involved with this particular entry, further agree to indemnify and hold harmless and defend the Union County Chamber of Commerce, the City of Anna and their respective officers, agents, servants and employees from any and all damages and losses sustained by the undersigned or anyone involved with this particular entry and arising out of, connected with, or in any way associated with participating in the LIGHT UP THE NIGHT PARADE.”
This Waiver and Release has been thoroughly read and understood and is given in consideration of the privilege to participate in the LIGHT UP THE NIGHT PARADE. This Waiver and Release has been executed by the undersigned, which has the authority to represent and bind all involved with this particular entry.
