Event Date: February 29th, 5pm-7pm; March 1,2 10am-3pm.

Instructions: Please read this Event Participation Form (Liability Waiver). Upon arrival at venue, you will be required to sign a copy.

I, _______(your name)_______, understand that participating in Queer and Abled Hawai’i Artists(QAHAC) Collaborative event may involve social activity, including but not limited to, interacting with the public, and other participants of this event who may or may not have disabilities. I am responsible for all items that I bring to this event and bodily injuries and risk for my guests who are there to provide supports for me as a vendor. I understand that Queer and Abled Hawai’i Artists Collaborative and its sponsors of this event assumes no responsibility or liability for anything that happens to me or my guests who are there to support me while I am participating in the above event, and I agree to assume all the risks of participation. Further, I am also responsible for my own physical condition and any conditioning that I partake in while participating in the event. I know I am fully responsible for any medical expenses incurred by me as a result of participating in this Equality HI, Abled Hawai'i Artists, and Full Life sponsored event. In consideration of the Sponsors Equality HI, Abled Hawai'i Artists, and Full Life permitting me to participate and to engage in all related activities, I hereby voluntarily assume all risks associated with participation and agree to exonerate and hold harmless the event organizers sponsors, their agents, servants and employees, and other practitioners treating me and my guests from any and all liability, claims, causes of action or demands of any kind and/or nature whatsoever which may arise by or in connection with my participation in any activities related to this event. The terms hereof shall serve as a release and assumption of risk for my heirs, estate, executor, administrator, assignees, and all members of my family. 

Acknowledgement of Assumption of Risk/Release of Liability: 

I certify that my date of birth is __________ (month/day/year), that my present age is _______, and that I am therefore of lawful age (18 years or older) and otherwise legally competent to sign this agreement. I certify that I have carefully read and fully understand this Event Participation Form(Liability Waiver), and agree to its terms in all respects. I understand that the terms of this agreement are legally binding. 

Signature of Participant: _______________________________________________________

Date: __________________ 

(Parent If Under 18) Participant’s Name, printed clearly: ______N/A______________________________________ 

Emergency Contact Name: _______________________________________________________

Emergency Contact Number: _____________________________________________________