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Our parade committee is pleased to announce our grand marshal unit this year will honor Our Healthcare Heroes! If you are a Doctor, Nurse, EMT/Paramedic, Senior Living Caregiver, Respiratory Therapist or Hospital Medical Staff Member, please register if you would like to participate.

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Your information


Required fields are marked with an asterisk (*).
First Name *
Last Name *
Cell Phone Number *

For example, 123-456-7890
Healthcare Occupation
Employer *

Disclaimer

In consideration for my being allowed to participate in the Centier Bank CarmelFest Parade, I, and if I am not yet 18 years old, my parent or legal guardian (individually and collectively referred to below in the first person singular) agree to be bound by each of the following:

Voluntary Participation. I understand and confirm that my participation in the Centier Bank CarmelFest Parade (the “Parade”) is wholly voluntary.

Identification of Risks. I understand that my participation in the Parade may be unsupervised and may involve risk of injury and loss both to my person and my property. I also understand that this risk may include the possibility of permanent disability and death.

Assumption of Risk. I assume all risks, known and unknown, foreseeable and unforeseeable, patent and latent, that are in any way connected with or related to my participation in the Parade. I accept personal responsibility for any liability, injury, loss and/or damage that is in any way connected with, or related to, my participation in the Parade.

Release and Waiver. I hereby release THE CARMELFEST COMMITTEE, THE ROTARY CLUB OF CARMEL, THE CITY OF CARMEL, INDIANA and their respective directors, officers, officials, attorneys, employees, agents, volunteers, successors and assigns from all liability and waive all claims for any injury, loss and/or damage, including, but not limited to, attorneys’ fees, that is in any way connected with or related to my participation in the Parade (a “Claim”), whether or not the Claim is caused in whole or in part by the negligence of THE CARMELFEST COMMITTEE, THE ROTARY CLUB OF CARMEL and/or THE CITY OF CARMEL, INDIANA and/or any of the persons referenced above.

Consent to Medical Treatment. I authorize THE CARMELFEST COMMITTEE, THE ROTARY CLUB OF CARMEL and/or THE CITY OF CARMEL, INDIANA to provide to me, through medical personnel of its choice, customary medical assistance, transportation, and emergency medical services. This consent does not impose any duty or obligation whatsoever upon THE CARMELFEST COMMITTEE, THE ROTARY CLUB OF CARMEL and/or THE CITY OF CARMEL, INDIANA to provide any such assistance, transportation, or services.

Publicity Release. I authorize THE CARMELFEST COMMITTEE, THE ROTARY CLUB OF CARMEL and THE CITY OF CARMEL, INDIANA to use my name, any photograph, audiotape, videotape, sketch, drawing or other likeness of me, for, but not limited to, educational resources, press releases, web-based publicity and other publicity materials and sources, gratis, without any cost, fee or limitation whatsoever.

Severability. Each term and provision of this document shall be valid and enforced separately to the fullest extent permitted by law.

Applicable Law. This document shall be governed, construed, and enforced in accordance with Indiana law, except for its conflict of laws provisions.

By signing below, you understand and agree to possibly be featured in the CBS4 and CarmelFest Facebook Live broadcast during the Centier Bank CarmelFest Parade.

This is a waiver and release of liability. I have completely read and fully understand this waiver, release of liability and consent to medical treatment form. I understand that I have given up substantial rights by signing it and have been given the opportunity to consult with an attorney of my choice before doing so. I am signing this waiver, release of liability and consent to medical treatment form voluntarily and absent any promise, threat, or coercion whatsoever.

Printed Name: Signature Date

If the person participating in the CarmelFest Parade is under 18 years old, a custodial parent or legal guardian must sign below:

In consideration for my named child or ward being allowed to participate in the CarmelFest Parade, and as the parent or legal guardian of same, I verify that I fully understand, agree to, and accept all of the provisions of this Waiver, Release of Liability and Consent to Medical Treatment form.


Parent: Printed Name Signature Date


Guardian: Printed Name Signature Date


Witness: Printed Name Signature Date


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