RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY, AND
PARENTAL CONSENT AGREEMENT
In consideration of participating in the Parade Your Pooch Fun Walk and related events to benefit As Good as
Gold – Golden Retriever Rescue of Illinois (AGaG) at Busse Woods, Elk Grove Village, Illinois on October 4, 2015, I represent that I understand the nature of walk events and that I and/or my minor child am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I and/or my minor child believe event conditions are unsafe, I and/or my minor child will immediately discontinue participation in the Activity.
I fully understand that the Parade Your Pooch Fun Walk and related events benefiting AGaG involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the “Releasees” named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I and/or my minor child incur as a result of my and/or my minor child’s participation in the Activity.
I hereby release, discharge, and covenant not to sue As Good as Gold – Golden Retriever Rescue of Illinois, its respective directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, vendors, and the Forest Preserve District of Cook County (each considered one of the “Releasees” herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability and assumption of risk I, or anyone on my and/or my minor child’s behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost which any may incur as the result of such claim.
I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT AND PARENTAL CONSENT AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely 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 and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
Printed Name of Participant Signature of Participant (must be 18 or older)
Signature for Minors
Printed Name of MINOR Participant Signature of Parent/Legal Guardian of MINOR
________________________________________ ____________________________________________ Printed Name of Parent/Legal Guardian of MINOR Date
As Good as Gold – Golden Retriever Rescue of Illinois is a membership-based, volunteer-supported 501(c)(3) non-profit organization.
As Good as Gold – Golden Retriever Rescue of Illinois is dedicated to the rescue, care and adoption of Golden Retrievers and golden mixes who are in need. In addition, As Good as Gold educates Golden Retriever guardians and the general public about the importance of spaying/neutering, positive training methods, diet and exercise, appropriate medical treatment and humane care.