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Volunteer with Far West Wheelchair Athletic Association



Valor Games Far West 2019

May 30th, 2019
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First Name *
Middle Initial *
Last Name *
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T-shirt size *
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If you are a member of the Coast Guard, please enter your unit information here.

Disclaimer

IN CONSIDERATION for Far West Wheelchair Athletic Association ("FWWAA") permitting me to participate in Valor Games Far West 2019 (the "Activity") at various facilities throughout the San Francisco Bay Area and Alameda County, I, for myself, and on behalf of my spouse, partner, children, family, and heirs, make the following representations and agree to the terms and conditions set forth below:

(1) I am over the age of 18 and in good health, even though I may have physical or mental disabilities or medical conditions. I understand that the nature of the Activity is strenuous and involves athletic strength, agility and coordination, among other skills. I hereby assure FWWAA that I have prior experience engaging in the skills needed to participate in the Activity and am in the proper physical and mental condition to participate in the Activity without the risk of harm to myself or others, and that I make this representation based on the advice of my physician. I agree to comply with the stated and customary terms and conditions for participation in the Activity. I acknowledge and agree that FWWAA cannot control and is not responsible for the actions of the other participants in the Activity. I agree and warrant that if at any time I believe that I am unable to safely participate in the Activity or that the site conditions, equipment, and manner in which the Activity is conducted, or actions of other participants, may pose a risk of injury to me, I will immediately discontinue further participation in the Activity and will notify a FWWAA official of my withdrawal and my safety concerns and observations which led to my withdrawal.

(2) I FULLY UNDERSTAND THAT THE ACTIVITY IS INHERENTLY DANGEROUS AND BY PARTICIPATING IN THE ACTIVITY I MAY SUFFER: PAIN, BODILY INJURY WHICH MAY MAKE MY EXISTING DISABILITY OR MEDICAL CONDITION MORE SEVERE, AND OTHER MINOR OR SERIOUS BODILY INJURIES, INCLUDING, WITHOUT LIMITATION, ILLNESS, TEMPORARY OR PERMANENT MENTAL OR PHYSICAL DISABILITY, AND DEATH, AS WELL AS DAMAGE TO OR LOSS OF MY PERSONAL PROPERTY (collectively "Risks"). These Risks may be caused by my own actions or inactions, the actions or inactions of other participants and persons directing and overseeing the Activity, the site conditions, equipment, and manner in which the Activity is conducted, among other causes. I agree to seek immediate medical care in the event of any illness or injury that I may suffer during or after the Activity. The Risks may also result in the loss of income, loss of consortium, and other economic and social damages I may suffer. I FULLY ACCEPT AND ASSUME ALL SUCH RISKS as a result of my participation in the Activity.

(3) With respect to any and all any and all actions, damages, costs, liabilities, claims, demands, losses, judgments, penalties, costs and expenses of every type and description (collectively “Claim(s)”) I may have due to the Risks which I may suffer which are caused in whole or in part by my participation in the Activity, I HEREBY RELEASE, HOLD HARMLESS AND PROMISE NOT TO SUE (COLLECTIVELY “RELEASE”) THE officials, employees, directors, coaches, agents, contractors, volunteers and invitees of FAR WEST WHEELCHAIR ATHLETIC ASSOCIATION, OR OTHER SPONSORING ORGANIZATIONS, INCLUDING, BUT NOT LIMITED TO: VETERANS AFFAIRS, UNITED STATES OLYMPIC COMMITTEE, UNITED STATES PARALYMPICS, U.S. COAST GUARD, COAST GUARD ISLAND, BASE ALAMEDA, THE NORTHERN CALIFORNIA REGIONAL PARALYMPIC SPORT PROGRAM, PARALYMPIC SPORT CLUB ("PSC"), CITY OF SAN JOSE (PSC SILICON VALLEY), CITY OF SACRAMENTO (PSC SACRAMENTO), CITY OF SAN FRANCISCO, SHARED ADVENTURES (PSC SANTA CRUZ), RIEKES CENTER FOR HUMAN ENHANCEMENT (PSC MENLO PARK), BAY AREA OUTREACH RECREATION PROGRAM (PSC BAY AREA), CITY OF RENO (PSC RENO), DISABLED SPORTS USA FAR WEST (PSC LAKE TAHOE), DISABLED SPORTS EASTERN SIERRA (PSC MAMMOTH LAKE), EXECUTIVE INN & SUITES, BAYSIDE HOTEL, OAKLAND AVIATION MUSEUM, PALMER CHIROPRACTIC CLINICS, TASK FORCE ISO, AND THEIR COMMUNITY ORGANIZATIONS (COLLECTIVELY “RELEASED PARTIES”), REGARDLESS AS TO WHETHER THE RELEASED PARTIES ACTS OR OMISSIONS CONSTITUTED NEGLIGENCE, BUT EXCLUDING THE GROSS NEGLIGENCE OR INTENTIONAL MISCONDUCT OF ANY RELEASED PARTY. THIS RELEASE OF CLAIMS INCLUDES ANY UNKNOWN CLAIMS AND I WAIVE ANY AND ALL RIGHTS OR BENEFITS THAT I MAY HAVE PURSUANT TO SECTION 1542 OF THE Civil Code of the State of California, which provides:
“A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR.”

(4) I hereby agree to abstain from the use or intoxication of alcohol and/or illegal drugs while participating in the Activity. I agree to defend and indemnify FWWAA and the RELEASED PARTIES for any Claims filed against it or them by others related to my acts or omissions while participating in Activity which cause injury or damage to other participants or persons attending the Activity.

(5) In case of any illness, injury or accident which occurs during the Activity, I hereby grant FWWAA and RELEASED PARTIES permission to administer to me emergency medical treatment, including ambulance services and hospitalization, by competent persons and medical personnel. I hereby assume full responsibility for any such actions, including payment of all costs. To the best of my knowledge, anyone who provides to me medical treatment should be aware of the following regarding my health conditions which may not be readily apparent and which could affect the manner and type of treatment that is administered to me, and I waive my rights under HIPPA to allow for disclosure of the provided information to anyone with a need to know in order to provide me with emergency medical treatment.

(6) Pursuant to Civil Code Section 3344, I hereby authorize and consent to the use and publication of my name, photograph, likeness, voice, and personal biographical information by FWWAA and RELEASED PARTIES, without payment therefor, in any and all media, in connection with the advertisement and promotion of the Activity and similar future activities sponsored by FWWAA and RELEASED PARTIES. Additionally, I hereby agree to be filmed, videotaped and photographed, and have my voice recorded (collectively the “Recording”), whether as an individual or as a composite, during the Activity by the FWWAA and the RELEASED PARTIES. I waive any right to review or approve the Recording and the use thereof, as well as waive the right to approve written copy that may be created and published in connection with the Recording. I hereby grant FWWAA and RELEASED PARTIES an irrevocable license to the Recording, provided that, in no event may the FWWAA or RELEASED PARTIES use or authorize the commercial use of the Recording in any manner that would imply my endorsement of any company, product, or service without my written permission.

(7) This Waiver and Release of Liability and Consent to Publication shall remain valid and irrevocable for two years after conclusion of the Activity, and shall remain in effect thereafter until it is expressly revoked by written notice from me to FWWAA; provided however, that any such revocation shall not in any manner affect the waiver and release of liability and consent to publication set forth herein for any acts or occurrences prior to receipt of said written notice by FWWAA.

(8) I agree that if, despite this Waiver and Release of Liability and Consent to Publication, I, or anyone on my behalf, makes a Claim against FWWAA or any of the RELEASED PARTIES, I will indemnify, defend and hold harmless FWWAA and each of the RELEASED PARTIES from any litigation expenses, attorney fees, loss, liability, damage, or cost which they may incur as the result of such Claim.


VALOR GAMES FAR WEST Civilian Code of Conduct:

The Valor Games Far West 2019 values your participation as a volunteer and/or spectator. During the event, I understand that each of us represent not only ourselves and our communities, but also Veterans, the Department of Veterans Affairs, the Northern California Paralympic Regional Sport program, Far West Wheelchair Athletic Association, as well as the host hotel. I understand it is a privilege to be involved in the Valor Games.

I understand that if I am found in violation of the Code of Conduct, I may be immediately asked to leave the event. Depending on the type of violation, I may be prohibited from involvement in future Valor Games events, and/or involvement with affiliated organizations.

I must agree to abide by the Valor Games Far West Civilian Code of Conduct as detailed below.

1. I understand that I am subject to a background check.
2. I will behave in a professional, courteous, and respectful manner toward fellow community members, staff, volunteers, and
event spectators.
3. I understand that no form of abuse or harassment, whether it is verbal, physical, emotional or sexual, will be tolerated.
4. I understand that Coast Guard Island is an active military base, and I am subject to the rules and regulations as posted by
Coast Guard Officials.
5. I will refrain from the consumption of alcohol or illegal substances during the VGFW.
6. I will respect all property at the event and I understand that I am responsible for any damage that I cause.
7. I will abide by all posted rules and regulations.
8. I will abide by the decisions of the Organizing Committee.
9. If I am not able to attend the Valor Games, and my presence is relied on, I will contact the event staff via email or phone
ASAP.