Thank you for volunteering for the Dublin Chamber of Commerce Corporate Challenge in partnership with the City of Dublin and Dublin City Schools! If you have any questions, please visit www.Dublinchamber.org/ccVolunteer20 or call City of Dublin Outreach and Engagement at 614-410-4404.


Name and address


Company Name

Please tell us what company you are associated with:



Schedule


Emergency Contact


Notice and Waiver

Below are various notices and waivers that each volunteer must read and agree to sign. Please read each carefully and initial in the accompanying boxes.



Consent for Agreements

I understand and acknowledge that the reading and acceptance of the Assumption of the Risk and this Release, Indemnity, and Consent Agreement is required before I can participate in the Dublin Chamber of Commerce Corporate Challenge (hereinafter referred to as the “Event”). My participation in the Event is strictly prohibited without my acknowledgment and acceptance of the Assumption of the Risk and this Release of Liability, Indemnity, and Consent Agreement.



Acknowledgement for Risk

I acknowledge, agree and represent that I understand the nature of the Event’s activities, and that I am qualified, in good health, and in proper physical condition to participate in the Event’s activities and have not been advised by a physician not to participate in the Event or similar activities. I fully understand that the Event’s activities include, among other things, Olympic-style field games that involve risks and dangers of serious personal injury or death and loss, stolen or damage to property (“Risks”). I acknowledge that even though I may be in good physical shape, there is a possibility of injury resulting from participation in the Event’s activities. These Risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others attending the Event, participation in the Event’s activities, the condition in which the Event’s activities take place, or the negligence of the Releasees named below. I fully accept and assume these Risks and all other risks and dangers incidental to the Event as a result of my attendance and participation in the Event.



Release of Liability

In consideration of my participation in the Event, I, on my own behalf and on behalf of my respective heirs, administrators, executors and successors, and assigns, hereby release and forever hold harmless and indemnify, the Dublin Chamber of Commerce, the City of Dublin, Dublin City Schools, their administrators, elected officials, directors, agents, officers, volunteers and employees, other participating Event organizers, any Event sponsors, advertisers, and if applicable, owners and lessors of premises, on which the Event’s activities take place, (each considered a Releasee herein and collectively referred to as “Releasees”) from any and all liabilities, losses, damages, rights, actions, suits, claims and demands of any kind whatsoever, which I, my heirs, administrators, executors and successors, and assigns, had, now have or hereafter may have, for any matter that relates to, arises out of, or is in any way connected with the Event. This release and agreement to hold harmless and indemnify includes, but is not limited to, any liability for any damages caused by the operation of the Event, the Event’s activities, my negligence, the intentional acts and negligence of others, the negligence of the Releasees, the awarding of prizes (if any), any loss or damage to any prize, any action, claim or suit for personal injury or death or loss or damage to property in connection with the acceptance, receipt, possession, use or misuse of a prize or while preparing for, participating in and/or traveling to the Event, any claims based on publicity rights, defamation, or invasion of privacy or failure to warn me or anyone else of known or unknown dangers or the failure to cure or attempt to cure such known or unknown dangers. If I, or anyone on my behalf, attempt to make a claim against any of the Releasees for any matter that relates to, arises out of, or is in any way connected with the Event, I will hold harmless and indemnify each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as a result of such claim, to the fullest extent permitted by law.




Consent Agreement

I grant the Dublin Chamber of Commerce, the City of Dublin, Dublin City Schools and their respective designees the irrevocable permission to use my name, picture, voice, image and/or likeness in any media or promotional materials now or hereafter existing in connection with all or any part of the Event for any purpose whatsoever, including without limitation the commercial purposes of the Dublin Chamber of Commerce. I agree not to transmit or facilitate transmission of any account, description, picture or reproduction of the Event in any media now or hereafter existing without the advance written permission of the Dublin Chamber of Commerce, the City of Dublin, and Dublin City Schools.



Overall Acknowledgement

I have read the Assumption of the Risk, Release of Liability, Indemnity, and Consent Agreement and fully understand its terms, understand that I have given up substantial rights by agreeing to it and have agreed to it freely, voluntarily and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law. I understand that this is an Agreement with legal effect in which, among other things, I waive and release certain legal rights I could possibly otherwise have in the future, and also agree to be financially responsible for certain future claims that could possibly arise against Releases. To the extent any portion of this agreement is held to be invalid, the remainder, notwithstanding, shall continue in full force and effect.



Electronic Signature

If you are 18 or older, please enter your name to confirm.

If you are a minor, your guardian must enter his/her name to indicate permission for volunteer service



Agreement

I certify that the statements made on this application are true and correct and have been given voluntarily. I understand this information may be disclosed to any party with legal and proper interest, and I release the City of Dublin from any liability whatsoever for supplying such information. I understand that I/my child will not be paid for services as a volunteer. I also understand that completing this application does not necessarily guarantee a position of volunteer service.