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Generic Waive and Release Form

I the undersigned hereby recognize and agree to assume the full risk and responsibility for any and all injuries, damages, or losses regardless of severity which I, my minor child/ward, or my guests may sustain as a result of participating in any and all activities connected with or associated with the Queensday celebration.  I agree to waive and relinquish all claims I, my minor child/ward, or my guests may have as a result of participating in the celebration against the officials, organizers, agents, associates and employees.

In the event of any emergency, I further authorize and direct the officials, organizers, agents, associates and employees to secure from any duly licensed hospital, physician and/or medical personnel any treatment deemed necessary for me, my minor child/ward, or my guests immediate care and agree that I will be responsible for payment of any and all medical emergency, or ancillary services rendered.

I have read and fully understand the above information, warning of risk, assumption of risk and responsibility, and waiver and release of all claims and permissions to secure treatment, to which I have affixed my signature by submitting the form and checking the waiver box.