Registration

  

TOUR DE SIMCHA - LIABILITY WAIVER AND RELEASE FORM

  

THIS IS A RELEASE OF LEGAL RIGHTS — READ AND UNDERSTAND BEFORE SIGNING  

 

I hereby certify consent to participation in all activities that will take place at Chai Lifeline’s TourDeSimcha events being held on July 15, 2025 and/or August 19, 2025. I understand that these activities shall include but are not limited to traveling to the event as well as any and all activities leading up to the event, including but not limited to the TourDeSimcha walk-a-thon and bike-a-thon events. In consideration of my accepting and signing this consent , I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against Chai Lifeline, Inc and all of their affiliates and agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees. I know that an event such as this is a potentially hazardous activity. I should not enter and attend unless I am medically able to do so and properly trained. I assume all risks associated with participating in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in a bike-a-thon and or walk-a-thon event, or the like. I acknowledge all such risks are known and understood by me.
 

I certify as a material condition to my being permitted to enter this event that I am physically fit and sufficiently trained for the completion of this event and that a licensed medical doctor has verified my physical condition and has approved my participation in all activities associated with this event. I certify that it is my sole responsibility to confirm and obtain updated medical clearance from my medical doctor and or medical professional prior to the event. In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization. By submitting this entry, I acknowledge having read and agreed to the above release and waiver. Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.


I understand and acknowledge that I am fully aware of and assume the risks (including but not limited to the risk of serious bodily injury, property loss or damage) in participation in any and all activities including the activities described above. I understand that Chai Lifeline shall have no responsibility to pay for medical treatment and related costs if I am injured.

I further understand and agree that Chai Lifeline disclaims all warranties, express or implied, including warranties of merchantability and fitness for a particular purpose. 
 

Further, I hold harmless and agree to indemnify Chai Lifeline , its officers, directors, faculty, staff, volunteers, employees and agents, from and against any present or future claim, cause of action, loss or liability for injury to person or property, which I may suffer or for which I may be liable to any other person, related to my participation in all activities including any and all recreational activities, resulting from any cause whatsoever, and regardless of fault.  
 

Further, in consideration for my participation in any and all aspects of the Chai Lifeline programs described above , I hereby agree: (a) to release and discharge Chai Lifeline from any liability or responsibility for any personal or bodily injury (including death), and for any damage to or loss of property, however caused, as a result of or in connection with my  participation in Chai Lifelines trip and program(s) or any travel related to their program(s), including, without being limited to, any injury, loss, or damage resulting from, arising out of, or occurring in connection with the negligent acts or omissions of members of the faculty or staff or other employees, agents or servants of  Chai Lifeline; and (b) not to raise any claim or institute any legal action or proceeding, on my behalf or on my behalf against Chai Lifeline for any cause of action that may result from or arise out of or in connection with my participation in Chai Lifeline’s program(s) or any travel related to their program(s), for any personal or bodily injury (including death) to me, including, without being limited to, injury, loss, or damage that may result from or arise out of or in connection with the negligent acts or omissions of members of the faculty or staff or other employees, agents or servants of Chai Lifeline.
 

I understand and agree that no oral or written representations can or will alter the contents of this document. 
 

This acknowledgment of risk and release and waiver of liability are governed by and will be construed in accordance with the laws of the State of New York without regard to principles of conflicts of law. I agree that I will submit to the exclusive jurisdiction of the federal and state courts located in New York County, New York State, for the resolution of all disputes arising hereunder or relating hereto, regardless of the place of execution of this form.
 

 
Name of Participant:  

Signed: __________________________  Date: 2025-07-28 03:00