Name of Event: CASI Golf Outing
Date of Event: September 6, 2024
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am physically fit, sufficiently prepared for participation in the event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health‐related reasons or problems which preclude my participation in this Event.
In consideration of permitting me to participate in this Event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(a) I WAIVE, RELEASE, AND DISCHARGE Center for Active Seniors Inc. a non‐profit corporation, and its officers, directors, board members, employees and agents from any and all liability, including but not limited to, liability arising from the negligence or fault of CASI, for my personal injury, death or disability, property damage, property theft, or actions of any kind which may hereafter occur to me while participating in this Event.
(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE CASI from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of CASI, or one of its sponsor partners or otherwise. I acknowledge that CASI is not responsible for the errors, omissions, acts, or failures to act of any party or entity conducting the Event on behalf of CASI.
(C) I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this Event.
(D) I understand that I may be photographed during this Event and its related activities, and I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by CASI, its sponsors, organizers, and assigns.
This waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT FREELY.
*If Participant is under 18 years old, Parent or Guardian must sign below:
The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child participation in the Event, and has agreed individually and on behalf of the child, to the terms of the waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.
