1K/5K Run, Walk, or Stroll- Adult Registration 
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Adult Hold Harmless/Indemnity Agreement 
Parish: Church of St. Michael, Farmington, MN
Dates of Activity: August 20, 2022
Type of Activity: 1K/5K Run, Walk, or Stroll 
The above named ACTIVITY PARTICIPANT OR FACILITY USER agrees to defend, protect, indemnify and hold harmless the above named PARISH against and from all claims arising from the negligence or fault of the above named ACTIVITY PARTICIPANT OR FACILITY USER which arise out of the above named ACTIVITY OR USAGE at the above named PARISH including but not limited to any personal injury, property damage, disability, death, and sickness or disease including, without limitation, any communicable disease.
Additionally, the above named ACTIVITY PARTICIPANT OR FACILITY USER agrees to protect, defend, hold harmless and fully indemnify the above named PARISH for any claim or cause of action whatsoever arising out of the above mentioned ACTIVITY OR USAGE which takes place during the above identified DATE(S) OF ACTIVITY OR USAGE that is brought against the PARISH by the above named ACTIVITY PARTICIPANT OR FACILITY USER or their family members whether such claim arises from the alleged negligence of the PARISH, its employees or agents or ACTIVITY PARTICIPANT or FACILITY USER’S negligence. If any portion of this agreement is held invalid, it is agreed that the balance thereof, shall continue in full legal force and effect.  
Activity Participant (First and Last Name)  *
Consent Agreement  *
Required
Authorization, Consent, and Release For Use of Visual Likeness and Original Works 
I ______________________________________ (Full Name) grant the following rights to Church of St. Michael and the Archdiocese of Saint Paul and Minneapolis:
The right to use all photographs, pictures, portraits, vocal sounds, appearances/likenesses, video and performances (hereinafter collectively known as “image”) of me in the possession of Church of St. Michael
The right to use, reproduce, publish, exhibit, distribute, and transmit the image of me individually or in conjunction with other images or printed matter in the production of brochures, slides, motion pictures, broadcasts (radio, television, and other social and digital media), audio or video files, recordings, still photography, CD-ROM and any other manner of media now known or later developed;
The right to use, reproduce, publish, exhibit, distribute, and transmit the image of me individually or in conjunction with other images or printed matter on Church of St. Michael and the Archdiocese of Saint Paul and Minneapolis’s Internet websites. No home address or phone number will be published;
The right to record, reproduce, amplify, edit, and simulate my image and all sound effects produced;
The right to copyright, in the name of Church of St. Michael and the Archdiocese of Saint Paul and Minneapolis, works that contain the image of me;
The right to use and publish for general communications, advertising, commercial or publicity purposes, or for any other lawful purpose whatsoever my original work; and
The right to assign the above-mentioned rights to third parties without notice to me.
I understand that the video files, still photos, or other media incorporating the image of me will become the property of Church of St. Michael. I hereby waive the right to inspect or approve the image or any finished materials that incorporate the image.
I understand and agree that no compensation will be provided, now or in the future, in connection with the use of my image or my original work.
I hereby release, discharge, and agree to indemnify and hold harmless Church of St. Michael, the Archdiocese of Saint Paul and Minneapolis, and their agents, employees and assigns from any and all claims, demands, right, and causes of action of whatever kind that I have or may have or may arise by reason of this authorization and from the use of my image and original work, including but not limited to, all claims for libel and invasion of privacy.
This consent regarding my likeness and original work is valid until such time as I choose to rescind this authorization and consent. If I choose to rescind this authorization and consent, I agree that I will inform Church of St. Michael, in writing and that my rescission will not take effect until it is received by Church of St. Michael. I understand and acknowledge that it may not be possible to recall any work or photos that have been published prior to receipt of my written rescission.
I hereby authorize and consent that Church of St. Michael and the Archdiocese of Saint Paul and Minneapolis have the right to use my name in connection with their educational, promotional, fund-raising activities, or for any other legitimate purpose. 
I have read the above Disclosures, Authorizations, and Releases, have had the opportunity to consider their terms, and understand them. I execute this document voluntarily and with full knowledge of its significance.
Activity Participant  *
Consent Agreement  *
Required
Agreement & Signature 
BY MY SIGNATURE BELOW, I ACKNOWLEDGE AND AGREE THIS ELECTRONIC OR DIGITAL SIGNATURE IS THE LEGALLY BINDING EQUIVALENT TO MY HANDWRITTEN SIGNATURE. THIS ELECTRONIC OR DIGITAL SIGNATURE HAS THE SAME VALIDITY AND MEANING AS MY HANDWRITTEN SIGNATURE. FURTHER, BY MY SIGNATURE BELOW I ACKNOWLEDGE AND AGREE TO ALL THE TERMS, CONDITIONS ABOVE.  
Digital Signature (First Name and Last Name)  *
Today's Date  *
Payment Online 

1. Click on link. 
2. Select 1K/5K Run, Walk, or Stroll
3. Pay Registration Fee
$25 (13 and over)
$5 (12 and under) 
A copy of your responses will be emailed to the address you provided.
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