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ATTACHMENT 6
<br />
<br />Agreement to Hold Harmless the City of Redwood City
<br />Name:_____________________________________________________________
<br />Home Address:______________________________________________________
<br />ID Number:________________________________________State:____________
<br />Telephone Number:__________________________________________________
<br />Name and description of event planned:
<br />Date of Activity: October 28, 2017
<br /> I hereby waive, release and discharge any and
<br />injury or property damage which I may have, or which hereafter accrue to me, against the City
<br />of Redwood City, the City Council, their officers, officials, employees and volunteers, any other
<br />involved municipalities or public agencies (collectively “Entities”) as a result of my participation
<br />in the event. This release is intended to discharge the Entities from and against any and all
<br />liability arising out of or connected in any way with my participation in the ev
<br />that liability may arise out of the negligence or carelessness on the part of persons or Entities
<br />mentioned above.
<br /> I further understand that accidents and injuries can arise out of the event, including, but
<br />not limited to, over-exertion, running, riding bicycles on surfaces not intended for that purpose
<br />or swimming in the San Francisco Bay. Knowing the risks, nevertheless, I hereby agree to
<br />assume those risks and to release and to hold harmless all of the Entities mentioned above who
<br />(through negligence or carelessness) might otherwise be liable to me (or my heirs or assigns)
<br />for damages. It is further understood and agreed that this waiver, release, and assumption of
<br />risk is to be binding on my heirs and assigns.
<br />Participant Signature:___________________________________Date:__________
<br />Parent Signature if under 18 years of age:_________________________________
<br />
<br />Agreement to Hold Harmless the City of Redwood City
<br />Name:_____________________________________________________________
<br />Home Address:______________________________________________________
<br />_______________________________________State:____________
<br />Telephone Number:__________________________________________________
<br />Name and description of event planned: OktobeRun
<br />October 28, 2017
<br />I hereby waive, release and discharge any and all claims for damages for death, personal
<br />injury or property damage which I may have, or which hereafter accrue to me, against the City
<br />of Redwood City, the City Council, their officers, officials, employees and volunteers, any other
<br />ies or public agencies (collectively “Entities”) as a result of my participation
<br />in the event. This release is intended to discharge the Entities from and against any and all
<br />liability arising out of or connected in any way with my participation in the event, even though
<br />that liability may arise out of the negligence or carelessness on the part of persons or Entities
<br />I further understand that accidents and injuries can arise out of the event, including, but
<br />running, riding bicycles on surfaces not intended for that purpose
<br />or swimming in the San Francisco Bay. Knowing the risks, nevertheless, I hereby agree to
<br />assume those risks and to release and to hold harmless all of the Entities mentioned above who
<br />ough negligence or carelessness) might otherwise be liable to me (or my heirs or assigns)
<br />for damages. It is further understood and agreed that this waiver, release, and assumption of
<br />risk is to be binding on my heirs and assigns.
<br />_________________________________Date:__________
<br />Parent Signature if under 18 years of age:_________________________________
<br />Agreement to Hold Harmless the City of Redwood City
<br />Name:_____________________________________________________________
<br />Home Address:______________________________________________________
<br />_______________________________________State:____________
<br />Telephone Number:__________________________________________________
<br />all claims for damages for death, personal
<br />injury or property damage which I may have, or which hereafter accrue to me, against the City
<br />of Redwood City, the City Council, their officers, officials, employees and volunteers, any other
<br />ies or public agencies (collectively “Entities”) as a result of my participation
<br />in the event. This release is intended to discharge the Entities from and against any and all
<br />ent, even though
<br />that liability may arise out of the negligence or carelessness on the part of persons or Entities
<br />I further understand that accidents and injuries can arise out of the event, including, but
<br />running, riding bicycles on surfaces not intended for that purpose
<br />or swimming in the San Francisco Bay. Knowing the risks, nevertheless, I hereby agree to
<br />assume those risks and to release and to hold harmless all of the Entities mentioned above who
<br />ough negligence or carelessness) might otherwise be liable to me (or my heirs or assigns)
<br />for damages. It is further understood and agreed that this waiver, release, and assumption of
<br />_________________________________Date:__________
<br />Parent Signature if under 18 years of age:_________________________________
<br />6.3.B. - Page 26
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