Perfect Pairings 2020 APDA WI Wine Dinner

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This event may involve activities which can include risks such as, but not limited to, falls, interaction with other participants, effects of weather, traffic and conditions of the road.  In consideration of being allowed to participate in this event, I hereby assume all risks, including bodily and personal injury, death, property loss or other damages of any kind arising in any way out of participation in this event and related activities.  

It is my responsibility to dress appropriately.  Although route maps, rest stops, refreshments and other assistance may be available during this event, I am solely responsible for my own health and safety.  I represent that I am physically fit and able to participate in this event and I agree to stop and request assistance if I experience any symptoms such as, but not limited to, dizziness, excessive fatigue, shortness of breath, pain or any other conditions which would make it difficult or unsafe to continue.  

I agree, for myself, my heirs, executors and administrators, to not sue and to release, indemnify and hold harmless, the American Parkinson Disease Association, its affiliates/chapters, their officers, directors, volunteers, employees, sponsors or agents, from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in this event and related activities whether resulting from the negligence of any of the above or from any other cause.   

This release and indemnification agreement shall be broad and inclusive as is permitted under the State or Province law in which this event is conducted.  If any portion of this agreement is held invalid, the remainder shall continue in full force and effect.

I grant full permission for the organizers of this event to use, re-use, publish and re-publish my name and image as a participant in photographs, videos and other recordings.

I have read, understand and agree to the terms of this Agreement.

If Participant is a minor, the parent or guardian must agree to the below:
I am the legal guardian of Participant, and I hereby consent to his/her participation.   I have read the foregoing release and indemnification agreement and I hereby agree on behalf of myself and Participant to the terms.


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