ALL Contestants

will be required to fill out and sign this media release form as part of their registration and participation in the Picton Fair

You may cut and paste this to a word document to be printed out and fill in and email or deliver to your section chairman or fair board office.

 

 

Release Form for Photography and /or Videography

 

Contestants and/or a parent or guardian of youths under the age of 18 years will be required to sign this Release Form as part of their participation in the Picton Fair.

This Release Form will allow the use of the contestant’s, parents/guardian and family members photographs for the promotion and marketing of the Picton Fair.

Examples of such usage would include publications such as annual reports, tourism brochures, leisure activity guides in print advertising, media releases and on our website and facebook page

Please provide your consent below for the use of your son/daughter’s photo alone, or with a parent or guardian, you as a contestant and family members. Thank you for helping us to promote the Picton Fair.

 

Date _____________________

 

Print Contestant’s Name ____________________________________________

 

Telephone _________________

 

Print Minor Contestant’s Name _______________________________________

 

Print Parental/Guardian Name ________________________________________

 

Telephone ___________________

 

Email Address ____________________________________________________

 

 

Contestant or Parental/Guardian Signature ______________________________________

 

Updated July 8, 2018

 

 

MEDIA RELEASE AND WAIVER OF LIABILITY,  ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

 

________________________________________________                        ______________________

DESCRIPTION AND LOCATION OF SCHEDULE EVENT(S)                                                              DATE RELEASE SIGNED

 

IN CONSIDERATION  of being permitted to compete, officiate, observe, work for, or participate in any way in the EVENT(S) of being permitted to enter for any purpose and RESTRICTED AREA (defined as the area requiring special authorization, credentials, or permission to enter any area to which admission by the general public is restricted or prohibited). EACH OF THE UNDERSIGNED, for himself, his personal representative, heirs, and next of kin:

 

  1. Acknowledges, agrees, and represents that he has or will immediately upon entering any of such RESTRICTED AREAS, and will continually thereafter, inspect the RESTRICTED AREAS which he enters and he further agrees and warrants that, if at any time, he is in or about RESTRICTED AREAS and he feels anything to be unsafe, he will immediately advise the officials of such and will leave the RESTRICTED AREA and/or refuse to participate further in the EVENT(S).
  2. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the promoters, participants, racing associations, stationing organizations or any subdivision thereof, track operators, officials, car owners, drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the EVENT(S), premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions, or instructions or engage in risk evaluation or loss control activities regarding the premises or EVENT(S) and each of them, their directors, officers, agents and employees, all for the purposes herein referred to as the “Releasees”, FROM ALL LIABILITY TO THE UNDERSIGNED, his personal representatives, assigns, heirs and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFOR ON ACCCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT(S),, WHEATHER CAUSED BY NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
  1. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST they may incur arising out of or related to the EVENT(S) WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
  2. HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OR RELEASEES or otherwise.
  3. HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.
  4. HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and intended to be as broad and inclusive as is permitted by the laws of the Province or State in which the EVENT(s) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect.
  5. Contestants and/or a parent or guardian of youths under the age of 18 years will be required to sign this Release Form as part of their participation in the Picton Fair. This Release Form will allow the use of the contestant’s, parents/guardian and family members photographs for the promotion and marketing of the Picton Fair. Examples of such usage would include publications such as annual reports, tourism brochures, leisure activity guides in print advertising, media releases and on our website and facebook page Please provide your consent below for the use of your son/daughter’s photo alone, or with a parent or guardian, or you as a contestant and family members.

 

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY

UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREAT EXTENT ALLOWED BY LAW.

 

                                  ALL SECTIONS MUST BE COMPLETED.

 

PRINT NAME HERE SIGN NAME HERE DUTIES

 

 

                    ____________________________________________________________                                 _________________________________________________________
               SIGNATURE AND TITLE OF WITNESS                                        ADDRESS OF WITNESS                                        Updated July 8, 2018