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Aging Young 2019
Event Participation Agreement & Release from Liability

I wish to participate in the Aging Young community event (the “Event”), scheduled for Saturday, November 9, 2019 at the Cocoanut Grove and hosted by Dignity Health Dominican Hospital, Dignity Health Medical Group-Dominican, and Dignity Health Medical Network in Santa Cruz (“Hosts”). I acknowledge that participation in the Event may involve, at my election, participation in physical activities and active demonstrations such as yoga and pilates. I understand that participation in these activities carries with it certain inherent risks that cannot be eliminated regardless of the care taken. In consideration for my participation in the Event, I agree to/that:

  1. Release, waive, discharge, and covenant not to sue or make any claim against or seek any damages from, Dignity Health, Hospital, or their respective agents, employees, officers, directors, parents, shareholders, members, legal representatives, successors, assigns, affiliates, and subsidiaries for any injury or damages relating to or resulting from the negligence or any other acts or omissions, howsoever caused, by any employee, agent, contractor, or affiliated healthcare professional of the Hosts or their Event resulting from or related to services provided by, or my participation in, said Event;
  2. This release as effective as a bar to all actions, fees, rights, claims, damages, losses, debts, liabilities and demands of whatever character, known or unknown, suspected or unsuspected, hereinabove specified to be so barred;
  3. I sign this release for myself, and on behalf of my heirs, spouse, issue, assigns, guardians, legal representatives and successors in interest;
  4. I have carefully reviewed this Event Participation Agreement and Release from Liability Agreement (“Agreement”) and fully understand the information and the terms of this Agreement;
  5. I am aware that this is a release and waiver of liability;
  6. I do grant and convey unto Hosts all right, title and interest in any and all photographic images and video or audio recordings made by Hospital during the Event, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings.
  7. I sign this Agreement voluntarily, and further agree that no oral representations, statements or inducement apart from the foregoing written Agreement have been made, and that any and all of my questions have been answered to my satisfaction.