AuDLifestyle 5k 2020

Liability Waiver

I am submitting this release to THE AuDLifestyle group as a condition of my participation in the AuDLifestyle 5k 2020 in New Orleans, LA on Friday, April 3rd, 2020 (the “Event”).

1. I represent that I am at least 18 years of age and have the right to contract in my own name, or if I am

under the age of 18, a parent or legal guardian will sign this Release on my behalf in the space provided below.

2. I HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS The AuDLifestyle and their respective affiliates, successors and assigns and the officers, directors, employees and agents of such parties and their affiliates, other participants, sponsoring agencies, sponsors, and advertisers (the “Releasees”) WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or loss or damage to person or property incident to my or my minor child’s involvement or participation in the Event, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

3. I hereby, on behalf of myself or my minor child, VOLUNTARILY ACCEPT, UNDERSTAND and ASSUME that participation in this Event carries with it certain INHERENT RISKS DUE TO THE PHYSICAL NATURE OF THE ACTIVITIES that cannot be eliminated regardless of the care taken to avoid injuries. These risks may include but are not limited to: permanent injury, disability and death. I fully accept and assume all such risks and all responsibility for losses, costs, and damages incurred as a result of my or my minor child’s participation in the Event.

4. I hereby agree that I and/or my minor child may be photographed, videotaped, and otherwise recorded

by The AuDLifestyle or their representative during the Event (collectively, “Footage”). Footage will be owned by The AuDLifestyle, who, along with their designees, have the right to use, edit, adapt, post, stream, copy and exploit such Footage and all elements embodied therein, including any names and likenesses embodied therein, in any and all media now known or hereafter devised throughout the world, in perpetuity, for advertising, promotional, trade and other purposes. By participating in the Event, I agree that my or my minor child’s name and likeness may be included in the Footage, in The AuDLifestyle’s sole discretion, without any compensation to or permission from, me.

5. I also acknowledge that The AuDLifestyle has not arranged for, nor carry, any insurance of any kind for

my benefit or that of my heirs, executors and administrators relative to my or my minor child’s participation in the Event; and that I am solely responsible for obtaining and paying for any life, accident, automobile, property or other insurance regarding my or my minor child’s participation the Event.

6. I warrant and represent that I have the full right and power to enter into this waiver and release.

7. I agree that this waiver and release supersedes any prior understandings between myself and The

AuDLifestyle relating to the Event and no provision of this Release can be modified by any other instrument, invoice or document unless in writing and signed by the parties hereto.

8. It is understood and agreed that this is a complete RELEASE and DISCHARGE of all claims and rights of

the undersigned against The AuDLifestyle and affiliates, and that no action will be taken by or on behalf of the undersigned with respect to any such rights; it being understood that this release shall be binding upon the parents, guardians, heirs, executors, and administrators of the undersigned.

I CERTIFY THAT I HAVE READ THE FOREGOING LIABILITY WAIVER AND RELEASE PRIOR TO ITS EXECUTION AND THAT I FULLY UNDERSTAND ITS CONTENTS. I FURTHER CERTIFY THAT THE STATEMENTS I HAVE MADE IN THIS RELEASE ARE TRUE AND OF MY OWN PERSONAL KNOWLEDGE.

Contact

© 2020 Dr. Amit Gosalia

Amit Gosalia, AuD

heardr@gmail.com

(602) 625-7655

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