Please read and sign. If under 18, a parent or guardian must sign as well. SomersetServe 2022 Havre de Grace Housing Authority Registration, Photo/Waiver Release and Waiver, Release of Liability and Indemnification Agreement. I understand that there may be occasions when HDGHA will want to use photographs and/or audio and/or video recordings from HDGHA and/or SomersetServe activities or events in which I will participate. I grant to HDGHA and its partners the right to include photographic, video, audio and/or other visual or audio portrayals of me taken during or in connection with HDGHA or related activities or events in any medium of any nature whatsoever (including the right to edit, combine with other materials or create any type of derivative thereof) for the purpose of advertising, publicity, promotions, or otherwise, without compensation to me. Such grant shall include the unrestricted right to copy, revise, distribute, and display photographs, images, films, tapes, drawings or recordings in any type of media (including, but not limited to, the internet). I consent to the use by HDGHA of my voice, testimonial, comments, and/or narrative writing, in any manner, free of charge, in any form or media, including, but not limited to, the internet. I understand the wording of any testimonial, comments, and/or narrative writing may be edited or altered, provided that the sense and meaning are not materially changed. I agree that all rights, title, and interest therein shall be HDGHA’s sole property, free from any claims by me or any person deriving any rights or interest from me. I release HDGHA and its agents and assigns from any and all claims which may arise out of or are in any way connected with such use. I know that some of the activities available at SomersetServe are inherently dangerous activities in which I choose to voluntarily participate at my own risk. I also understand that these risks, hazards and dangers are further increased when other persons are present at the same time and using the same facilities. By this Agreement, it is my intention to forever relieve HDGHA and the Somerset Manor Residents Association, Inc., its officers, employees, and agents, volunteers, (hereinafter “HDGHA/SMRA”) of any duty to me and I do assume the entire risk of any personal injury, damage, loss, harm, death, claim, medical expense and any other type of expense that might occur during or as a result of my use of, or presence at SomersetServe. By this Agreement, I also intend to forever release, discharge and absolve HDGHA/SMRA from any and all liability for any active or passive negligence whatsoever by HDGHA/SMRA and to waive and relinquish any claim or cause of action against HDGHA/SMRA for any personal injury, damage, loss, harm, death, medical expense and any other type of expense caused by any negligence of HDGHA/SMRA and promise not to sue or exercise any legal right to seek damages from HDGHA/SMRA. By this Agreement, I also intend to forever release, discharge, waive and relinquish and absolve HDGHA/SMRA from any and all claims or causes of action against HDGHA/SMRA for any personal injury, damage, loss, harm, death, medical expense and any other type of expense caused by the condition and/or maintenance of HDGHA/SMRA premises or any of its structures or devises and promise not to sue or exercise any legal right to seek damages from HDGHA/SMRA. Lastly, I agree to forever hold harmless and indemnify HDGHA/SMRA from any and all liability for any injury and/or damages to any third party resulting from my participation in any activity. I authorize HDGHA/SMRA to provide or cause to be provided such medical treatment that may be necessary or appropriate if I am injured while at SomersetServe. I HAVE READ AND VOLUNTARILY AGREE SIGN THIS AGREEMENT. I further agree that no oral representations, statements, or inducements apart from this Agreement have been made by HDGHA/SMRA with regard to the subject matter of this Agreement. I acknowledge that this agreement constitutes an express contractual assumption of all risks, and both a waiver and release from all liability for any negligence or dangerous conditions and indemnity for all third party claims. If I am younger than 18 years old, my parent (legal guardian) and I hereby certify that I am younger than 18 years old. I (We) have completely read and understand this Agreement and its terms. I (We) are aware that, by signing this Agreement, I (We) assume all risks and waive and release all rights that I (We) and my heirs, next of kin, family, relatives, guardians, executors, administrators, trustees and assigns may have against HDGHA/SMRA. *
YOU MUST SIGN YOUR FULL, FIRST AND LAST NAME
