In memory of Evelyn Rose Kirkland

RONALD MCDONALD HOUSE CHARITIES GWS – WAIVER, INDEMNITY AND RELEASE FORM  I wish to fundraise for Ronald McDonald House Charities Greater Western Sydney (RMHC GWS).  This agreement applies to the Event and any other related event(s) in which I engage to raise funds for RMHC GWS.  I assert and confirm that my participation in the Event is voluntary.  I understand that if I am under the age of 18, I MUST have a guardian approve my participation in the event.  I acknowledge that the Event is being run to fundraise for RMHC GWS and I agree to abide by all rules, regulations, and event instructions of the Event, as well as all applicable municipal and state laws and regulations.  I am aware of and expressly assume all risks associated with participating in this Event.  I understand and acknowledge that RMHC GWS is not in a position to judge my capacity, fitness or any other matter in relation to my ability to participate in the Event. I assure RMHC GWS that it has no reason to conduct any special inquiry into my capacity, fitness, or any other matter relating to my ability to participate in the Event and I am not aware of any illness, injury or any other matter which may cause me injury while participating in the Event. I request RMHC GWS to treat my request for authority to fundraise as being from a person fully capable of preparing, organising, holding and participating in the Event.  I agree to put in place appropriate precautions before participating in the Event to ensure that any necessary medical assistance will be available to me during and after the Event. I acknowledge that RMHC GWS is not responsible for organising or paying any costs involved with such medical assistance.  I agree to release, indemnify and hold harmless RMHC GWS, any beneficiaries, sponsors, officials, participating clubs, communities, organisations, friends of the  Event, volunteers, consultants, participants, third-party vendors, government or public entities) and each of their respective affiliates, successors, officers, directors, employees, volunteers, agents, and representatives, including, without limitation, Event medical sponsors, medical director, and members of the medical team from all claims, actions, demands, suits or proceedings of any nature whatsoever which may be made by me, on my behalf, or by or on behalf of any other person, in respect of or arising out of any liability, loss, cost, damage or expense, including but not limited to damage to property, injury or death, that I or any other person suffer during the course of, as a result of, or that is associated with, the Event, (including during any preparation or planning for the Event or any associated activity), and however caused (whether due to the negligence or omission of RMHC GWS, its officials, employees, agents, contractors, volunteers or other personnel or otherwise).  I acknowledge that I am not relying, and will not rely, on RMHC GWS or any representation made by RMHC GWS or its officials, employees, agents, contractors, volunteers or other personnel in any way, including in preparing for, organising or participating in the Event.  I agree that my participation in the Event is subject to the sole discretion of the organisers of the Event, and that my participation may be limited or terminated, with or without cause.  I acknowledge that without authority from RMHC GWS to fundraise, I am not permitted to identify RMHC GWS as a charity associated with the Event, or to use the RMHC GWS name or logo or any other material associated with RMHC GWS in preparing for, organising or participating in the Event, including but not limited to marketing or promoting the Event.  I acknowledge and agree that RMHC GWS may, in its absolute discretion, withdraw my authority to fundraise that RMHC GWS grants me, upon which I must immediately cease the Event and discontinue any use of the RMHC GWS name and logo.  I agree that any photographs, video, film footage or audio recording of me taken as part of the Event may be used by RMHC GWS and each of their respective affiliates, subsidiaries and agents for the purposes of promoting RMHC GWS and I hereby perpetually and irrevocably consent to any such use without payment or compensation and waive any rights I might have to object to such uses under parts IX and XIA of the Copyright Act 1968 (Cth).  I understand and agree that these terms are binding on my heirs, assigns, and legal representatives.  In return for RMHC GWS considering my application for authority to fundraise, and, should RMHC GWS grant me authority to fundraise, in return for that grant, I agree to the above terms.  This agreement is governed by the laws of the State of New South Wales and the New South Wales courts shall have exclusive jurisdiction for any dispute arising under or relating to this agreement.  I have carefully read this form, understand its contents and agree that its terms and conditions bind me and my heirs and successors. 

RONALD MCDONALD HOUSE CHARITIES GWS – WAIVER, INDEMNITY AND RELEASE FORM 

I wish to fundraise for Ronald McDonald House Charities Greater Western Sydney (RMHC GWS). 

This agreement applies to the Event and any other related event(s) in which I engage to raise funds for RMHC GWS. 

I assert and confirm that my participation in the Event is voluntary. 

I understand that if I am under the age of 18, I MUST have a guardian approve my participation in the event. 

I acknowledge that the Event is being run to fundraise for RMHC GWS and I agree to abide by all rules, regulations, and event instructions of the Event, as well as all applicable municipal and state laws and regulations. 

I am aware of and expressly assume all risks associated with participating in this Event. 

I understand and acknowledge that RMHC GWS is not in a position to judge my capacity, fitness or any other matter in relation to my ability to participate in the Event. I assure RMHC GWS that it has no reason to conduct any special inquiry into my capacity, fitness, or any other matter relating to my ability to participate in the Event and I am not aware of any illness, injury or any other matter which may cause me injury while participating in the Event. I request RMHC GWS to treat my request for authority to fundraise as being from a person fully capable of preparing, organising, holding and participating in the Event. 

I agree to put in place appropriate precautions before participating in the Event to ensure that any necessary medical assistance will be available to me during and after the Event. I acknowledge that RMHC GWS is not responsible for organising or paying any costs involved with such medical assistance. 

I agree to release, indemnify and hold harmless RMHC GWS, any beneficiaries, sponsors, officials, participating clubs, communities, organisations, friends of the 

Event, volunteers, consultants, participants, third-party vendors, government or public entities) and each of their respective affiliates, successors, officers, directors, employees, volunteers, agents, and representatives, including, without limitation, Event medical sponsors, medical director, and members of the medical team from all claims, actions, demands, suits or proceedings of any nature whatsoever which may be made by me, on my behalf, or by or on behalf of any other person, in respect of or arising out of any liability, loss, cost, damage or expense, including but not limited to damage to property, injury or death, that I or any other person suffer during the course of, as a result of, or that is associated with, the Event, (including during any preparation or planning for the Event or any associated activity), and however caused (whether due to the negligence or omission of RMHC GWS, its officials, employees, agents, contractors, volunteers or other personnel or otherwise). 

I acknowledge that I am not relying, and will not rely, on RMHC GWS or any representation made by RMHC GWS or its officials, employees, agents, contractors, volunteers or other personnel in any way, including in preparing for, organising or participating in the Event. 

I agree that my participation in the Event is subject to the sole discretion of the organisers of the Event, and that my participation may be limited or terminated, with or without cause. 

I acknowledge that without authority from RMHC GWS to fundraise, I am not permitted to identify RMHC GWS as a charity associated with the Event, or to use the RMHC GWS name or logo or any other material associated with RMHC GWS in preparing for, organising or participating in the Event, including but not limited to marketing or promoting the Event. 

I acknowledge and agree that RMHC GWS may, in its absolute discretion, withdraw my authority to fundraise that RMHC GWS grants me, upon which I must immediately cease the Event and discontinue any use of the RMHC GWS name and logo. 

I agree that any photographs, video, film footage or audio recording of me taken as part of the Event may be used by RMHC GWS and each of their respective affiliates, subsidiaries and agents for the purposes of promoting RMHC GWS and I hereby perpetually and irrevocably consent to any such use without payment or compensation and waive any rights I might have to object to such uses under parts IX and XIA of the Copyright Act 1968 (Cth). 

I understand and agree that these terms are binding on my heirs, assigns, and legal representatives. 

In return for RMHC GWS considering my application for authority to fundraise, and, should RMHC GWS grant me authority to fundraise, in return for that grant, I agree to the above terms. 

This agreement is governed by the laws of the State of New South Wales and the New South Wales courts shall have exclusive jurisdiction for any dispute arising under or relating to this agreement. 

I have carefully read this form, understand its contents and agree that its terms and conditions bind me and my heirs and successors.