Sunday August 20th, 2017,
5:00 AM to 12:00 PM
Olcott Memorial School
Give A Brick Run is to support Penn Nalam, a unit of Sri Dhanvantri Turst which aims to save women from cancer in time through its mission of educating, screening, diagnosing, treating and counseling. And it is already at it through various means.
• A convenience fee may be levied.
• Passes cannot be exchanged or refunded.
• Please be at the venue at least 20 minutes before the event to pick up your passes.
• Eventjini enables a transaction between you and the organizers of this event.
• Once a transaction is completed, Eventjini or Eventus Software which owns Eventjini, is not liable to process any refunds under any circumstances.
• For any refunds, grievances, claims and questions related to the event and its execution please contact the event organizer.
Team CHENNAI BREAST CANCER RESEARCH FOUNDATION (CBCRF)
and MADRAS MUSTANGS
RELEASE WAIVER AND ASSUMPTION OF RISK AGREEMENT
I acknowledge that the sport of Run/Walk is an extreme test of a person’s physical and mental limits and carries with it the potential risk for death, serious injury and property loss. There are both known and unanticipated risks. The known risks include, but are not limited to travails by road, temperature, weather, the physical and mental conditions of the participants including my own physical and mental condition, my acts or omissions or failure to act, first aid, emergency treatment or other services rendered, consumption of food or drink, lack of hydration, latent or apparent defects or conditions in any equipment or property supplied by CBCRF and Madras Mustangs (jointly known as the “GIVE A BRICK RUN” TEAM), or other persons and/or entities, vehicular traffic and actions of other people including any other external events.
I understand and acknowledge that the above listing is not complete or exhaustive, and that other risks, known or unknown, identified or unidentified, anticipated or unanticipated, foreseeable or unforeseeable, may also result in injury or damage to me or my property, and I expressly accept and acknowledge those risks not specifically listed above as well. I expressly agree, covenant, and promise to accept and assume all responsibility and risk for injury, death, illness or disease, damage to myself or to property, to participants, spectators or to other third parties and their property, arising from or relating to my participation in GIVE A BRICK RUN TEAM - organized practices, activities and/or events and all related activities.
I am voluntarily electing to participate in, attend, Give a Brick Run Team- organized activities and/or events in spite of these risks. I certify that I am physically fit, have sufficiently trained for participation in Give a Brick Run TEAM organized practices, activities and/or events and have not been advised otherwise by a qualified medical person.
In consideration of being permitted to participate in practices, activities or events conducted by GIVE A BRICK RUN TEAM on August 20, 2017, I, for myself, my personal representatives, heirs, executors, next of kin, spouse and assigns, so agree as follows:
a) I irrevocably waive, release and forever discharge from any and every claim, demand, action or right of action of whatever nature or kind and all liability of any kind which may hereafter accrue to me in connection with my participating in Give a Brick Run TEAM organized practices, activities and/or events, GIVE A BRICK RUN TEAM their past, present and future directors, officers, members, employees, servants, volunteers, representatives, and agents, event holders, event sponsors, event directors, event volunteers, event officials, and other co- organizers of events that GIVE A BRICK RUN TEAM wishes to work with during the period stated above (collectively the “Releasees”).
b) I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS AND PROMISE TO INDEMNIFY AND NOT TO SUE the Releasees and the sponsors of GIVE A BRICK RUN TEAM organized practices, activities and/or events, the organizers and employees through or by which practices and/or events will be held, (the foregoing are also collectively deemed to be Releasees) FROM ANY AND ALL RIGHTS AND CLAIMS INCLUDING CLAIMS ARISING FROM THE RELEASEE’S OWN NEGLIGENCE.
c) I hereby allow GIVE A BRICK RUN TEAM the right to use the photographs and videos of the participants taken during the event as they deem fit.
d) I understand that this Affidavit cum Indemnity shall be valid till the completion of this event.
Terms of Privacy - With whom GIVE A BRICK RUN TEAM may share the information collected:
GIVE A BRICK RUN TEAM will not share your personal information with others except as indicated below, or except when you are informed in advance and given the opportunity to opt out. GIVE A BRICK RUN TEAM may share personal information with:
1) Event providers, such as the venues, event managers, promoters and others who are involved in, produce or bring you events Service providers, such as credit-card payment processors, performing services on GIVE A BRICK RUN TEAM ’s behalf ·
2) Other businesses with which GIVE A BRICK RUN TEAM partners or which GIVE A BRICK RUN TEAM carefully selects to offer you products, services, and promotions through GIVE A BRICK RUN TEAM's website, social media sites or offline.
3) Other third parties in limited circumstances, such as complying with legal requirements, preventing fraud, and protecting the safety of GIVE A BRICK RUN TEAM participants
I HAVE READ, UNDERSTOOD, AND AGREE TO THE ABOVE RELEASE, WAIVER AND ASSUMPTION OF RISK AGREEMENT.
Signature of the Participant: ________________________________
Full Name: __________________________________________
IMPORTANT: Any indemnity and/or declaration as prescribed by the paragraphs above if signed by a person under the age of 15 years, shall be countersigned by that person’s parent/guardian, whose full name and address shall be given and also his capacity as signatory.
Signature of Guardian: _______________________________
Full Name: ________________________
Relationship to the participant: _______________________________
Signature of the Witness: ______________________________
Full Name: __________________________________________