Event Title: Event Title: Multiculral Festival

Event Date: Event Date: 4/13/2024

PARTICIPATION WAIVERS AND RELEASES PARTICIPATION WAIVERS AND RELEASES
Par cipant Name:_________________________________________ Par cipant Name:_________________________________________
Phone Number or Email Address :____________________________ Phone Number or Email Address :____________________________
Birthdate of Par cipant (MM/DD/YY)*:___/____/____ *Only if the par cipant is a minor. Birthdate of Par cipant (MM/DD/YY)*:___/____/____ *Only if the par cipant is a minor.
Photo & Video Taping Release: I hereby give my express and uncondi onal permission and consent to City of Photo & Video Taping Release: I hereby give my express and uncondi onal permission and consent to City of
MENIFEE to use videotaped or photographed images of me or said minor or otherwise use the name or my likeness MENIFEE to use videotaped or photographed images of me or said minor or otherwise use the name or my
or that of said minor for use in the City’s publicity or public rela ons materials and I will not seek any fee or other likeness or that of said minor for use in the City’s publicity or public rela ons materials and I will not seek any fee
form of compensa on of any type or amount for such use. I hereby give up any rights that I or said minor may have or other form of compensa on of any type or amount for such use. I hereby give up any rights that I or said minor
to inspect or approve my images, name or likeness or that of said minor including any adver sing copy, printed may have to inspect or approve my images, name or likeness or that of said minor including any adver sing copy,
ma er, website or other media or material in which my images, name or likeness or that of said minor may appear printed ma er, website or other media or material in which my images, name or likeness or that of said minor
in rela on to the City publicity or public rela ons materials. _______Ini als may appear in rela on to the City publicity or public rela ons materials. _______Ini als
Release from Liability and Indemnifica on: In considera on for par cipa ng in the ac vity(ies) listed above, I Release from Liability and Indemnifica on: In considera on for par cipa ng in the ac vity(ies) listed above, I
hereby waive, release and discharge any and all claims for damages for bodily injury, personal injury, death, or hereby waive, release and discharge any and all claims for damages for bodily injury, personal injury, death, or
property damage which I may have or which may herea er accrue as a result of my par cipa on in the ac vity(ies). property damage which I may have or which may herea er accrue as a result of my par cipa on in the ac vity
This release is intended to discharge, in advance, the City of MENIFEE, its officers, officials, employees, agents, and (ies). This release is intended to discharge, in advance, the City of MENIFEE, its officers, officials, employees,
volunteers from and against any and all liability arising out of, or connected in any way with, my par cipa on in said agents, and volunteers from and against any and all liability arising out of, or connected in any way with, my
ac vity, even though that liability may arise out of negligence on the part of the City its officers, officials, par cipa on in said ac vity, even though that liability may arise out of negligence on the part of the City its
employees, agents, and volunteers. I understand that the above ac vity may be of a hazardous nature and/or officers, officials, employees, agents, and volunteers. I understand that the above ac vity may be of a hazardous
include physical and/or strenuous exercise or ac vity; that serious accidents may occur during the above described nature and/or include physical and/or strenuous exercise or ac vity; that serious accidents may occur during the
ac vity; and that par cipants in the above described ac vity may sustain bodily injury, personal injury and/or above described ac vity; and that par cipants in the above described ac vity may sustain bodily injury, personal
property damage as a consequence thereof. Those hazards include, but are not limited to, exposure to the injury and/or property damage as a consequence thereof. Those hazards include, but are not limited to, exposure
elements, sprains, strains, cuts or contusions associated with strenuous work or the use of tools; over exer on; to the elements, sprains, strains, cuts or contusions associated with strenuous work or the use of tools; over
walking on uneven ground, li ing materials or unpredictable acts by others. Knowing the risks involved, exer on; walking on uneven ground, li ing materials or unpredictable acts by others. Knowing the risks involved,
nevertheless, I have voluntarily applied to par cipate in the above described ac vity and I hereby agree to assume nevertheless, I have voluntarily applied to par cipate in the above described ac vity and I hereby agree to assume
any and all risks of injury or death and to release the City of MENIFEE, its officer, officials, employees, agents, and any and all risks of injury or death and to release the City of MENIFEE, its officer, officials, employees, agents, and
volunteers, who through negligence or any other act or omission might otherwise be liable to me. I further volunteers, who through negligence or any other act or omission might otherwise be liable to me. I further
understand and agree that this waiver, release, and assump on of risks is to be binding to my heirs and assigns. I understand and agree that this waiver, release, and assump on of risks is to be binding to my heirs and assigns. I
further agree to indemnify, defend and hold the City of MENIFEE its officers, officials, employees, agents, and further agree to indemnify, defend and hold the City of MENIFEE its officers, officials, employees, agents, and
volunteers harm-less from any loss, liability, claim, damage, or expense which may incur as a result of my volunteers harm-less from any loss, liability, claim, damage, or expense which may incur as a result of my
par cipa on in the above described ac vity. _______Ini als par cipa on in the above described ac vity. _______Ini als
Assump on of the Risk and Waiver of Liability Rela ng to Contagious Diseases: The City of Menifee has put in Assump on of the Risk and Waiver of Liability Rela ng to Contagious Diseases: The City of Menifee has put in
place preventa ve measures to reduce the spread of contagious disease; however, the City cannot guarantee that place preventa ve measures to reduce the spread of contagious disease; however, the City cannot guarantee
you or your child(ren) will not become infected with any communicable disease. I hereby assert that I am in that you or your child(ren) will not become infected with any communicable disease. I hereby assert that I am in
sufficiently sound health and that I have no health condi on, illness, or communicable disease that may make my sufficiently sound health and that I have no health condi on, illness, or communicable disease that may make my
par cipa ng injurious to me or others. If I should develop any such condi on, illness or disease during the term of par cipa ng injurious to me or others. If I should develop any such condi on, illness or disease during the term of
ac vi es, I promise to discon nue par cipa on un l I have received an appropriate medical release from my ac vi es, I promise to discon nue par cipa on un l I have received an appropriate medical release from my
doctor. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my doctor. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my
child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss,
liability, or expense, of any kind, that I or my child(ren) may experience or incur in connec on with my child(ren)’s claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connec on with my child
par cipa on in this Program. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, (ren)’s par cipa on in this Program. On my behalf, and on behalf of my children, I hereby release, covenant not to
discharge, and hold harmless the City, its employees, agents, and representa ves, of and from the Claims, including sue, discharge, and hold harmless the City, its employees, agents, and representa ves, of and from the Claims,
all liabili es, claims, ac ons, damages, costs or expenses of any kind arising out of or rela ng thereto. I understand including all liabili es, claims, ac ons, damages, costs or expenses of any kind arising out of or rela ng thereto. I
and agree that this release includes any Claims based on the ac ons, omissions, or negligence of the City, its understand and agree that this release includes any Claims based on the ac ons, omissions, or negligence of the
employees, agents, and representa ves. _______Ini als City, its employees, agents, and representa ves. _______Ini als
Special Events Rules & Regula ons: Special Events Rules & Regula ons:
 Par cipa on waivers form must be completed by all par cipants and/or parent or guardian in order to access  Par cipa on waivers form must be completed by all par cipants and/or parent or guardian in order to
to the event area. access to the event area.
 There shall be no running, or going off of designated areas for the allo ed area within the event area.  There shall be no running, or going off of designated areas for the allo ed area within the event area.
 Children under 18 are to be accompanied by a responsible adult at all mes.  Children under 18 are to be accompanied by a responsible adult at all mes.
By signing below I acknowledge that I understand the above Photo & Video Taping Release, Release from Liability By signing below I acknowledge that I understand the above Photo & Video Taping Release, Release from
and Indemnifica on, Contract Class Refund Policy, and Assump on of the Risk and Waiver of Liability Rela ng to Liability and Indemnifica on, Contract Class Refund Policy, and Assump on of the Risk and Waiver of Liability
Contagious Diseases. Rela ng to Contagious Diseases.

Print Name: __________________________________________________________________________ Print Name: __________________________________________________________________________

Signature: ___________________________________________________________________________ Date: _______________ Signature: ___________________________________________________________________________ Date: _______________