Waiver and Release - Cleveland Museum of Art

THE CLEVELAND MUSEUM OF ART
PARADE THE CIRCLE
PARTICIPANT WAIVER AND RELEASE
Saturday, June 11, 2016
________________________________________
___________________________________________
Name
Organization/Group Name
_____________________________________________________________________________________________
Address
City, State, Zip Code
________________________________________
___________________________________________
Area Code/Telephone Number
e-mail address
Age on Event Date: _________________________
RELEASE AND WAIVER: As a participant in The Cleveland Museum of Art Parade the Circle event and/or
activities in preparation for Parade the Circle (collectively, “Parade the Circle”), I acknowledge and agree, for
myself and on behalf of my heirs, executors, administrators, legal representatives and assigns, that by my
participation, I assume all risks of injury that may arise from my participation, my use of any materials, or my
presence on the premises of The Cleveland Museum of Art or premises otherwise used for Parade the Circle. For
myself and on behalf of my heirs, executors, administrators, legal representatives and assigns, I hereby release,
discharge and exonerate The Cleveland Museum of Art, its trustees, officers, employees, agents, representatives,
sponsors, contributors and individuals associated with Parade the Circle from any and all liability for damages of
every nature, kind and description arising out of my said participation, use or presence and I agree that I will hold
each of them harmless from any injury or damages I may suffer in connection with my said participation, use or
presence.
I give my full permission to The Cleveland Museum of Art and its sponsors to use anywhere in the world in any
media now existing or developed in the future any photographs, videotapes, digitized images or other recordings of
me that may be made during the course of Parade the Circle.
I have read and fully understand the foregoing Release and Waiver. If the participant named above is under 18 years
of age on the event date, the person signing below acknowledges that he or she is the parent or guardian of the
participant and is giving this Release and Waiver on behalf of the participant as a condition to his or her
participation.
___________________________________________
___________________________________________
Signature of Participant
Signature of Parent/Guardian if Participant is under
18 years of age
CLE - 785395.4