Liability Waiver Form By saying yes below, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages, or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Haitian American Caucus , its officers, students, participants, and volunteers from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. I hereby give my consent to HAITIAN AMERICAN CAUCUS-US organization to take photographs, video recordings, and/or sound recordings of me during my participation. I grant Haitian American Caucus my permission to use the negatives, prints, motion picture, video tapings, or any other reproduction of the same for promotional purposes on flyers, on the World Wide Web, or in any other manner deemed necessary. I expressly state that I have read, understand and am familiar with all provisions herein. I understand that this release is a contract and I sign it of my own free will. I agree to all terms and provisions herein. Fòm egzansyon responsablite Lè mwen di wi anba a, mwen renonse a, lage, ak egzeyat nenpòt ak tout reklamasyon pou domaj pou aksidan pèsonèl, domaj pwopriyete, oswa ki ka apre sa rive m 'kòm yon rezilta nan patisipasyon nan evènman sa a. Liberasyon sa a fèt pou libere davans Caucus Ameriken Ayisyen, ofisye li yo, elèv yo, patisipan yo, ak volontè yo soti nan responsablite, menm si responsablite sa a ka leve nan neglijans konnen sou pati nan moun mansyone pi wo a. Mwen bay konsantman mwen bay òganizasyon CAUCUS AYISYEN AMERIKEN pou pran foto, anrejistreman videyo, ak / oswa anrejistreman son pandan patisipasyon mwen an. Mwen bay Ayisyen Ameriken Caucus pèmisyon mwen pou itilize negatif, simagri, fim, videyo anrejistreman, oswa nenpòt lòt repwodiksyon nan menm bagay sa yo pou rezon pwomosyon sou feyè, sou entènèt la, oswa nan nenpòt lòt fason ki nesesè. Mwen ekspreseman deklare mwen li, mwen konprann e mwen abitye avèk tout dispozisyon ki nan dokiman sa a. Mwen konprann ke liberasyon sa a se yon kontra e mwen siyen li pou kont mwen. Mwen dakò ak tout tèm ak dispozisyon ki nan dokiman sa a. *
