2. 
6. Entry Name

   (Group, Company, Individual)

8. Main Contact (Must be 18 or over)
10. First Name
11. Last Name
13. Street Address
15. City
16. State
17. Zip Code
19. Cell Phone
20. Email Address
24. Number of People in Group
25. Entire Length of Unit

    (Including vehicles, people, etc.)

27. Will your group have music?

    1. Yes
    2. No
29. If yes, what type of music?
31. Describe your entry
35. Waiver and Release (Festival of Lights Parade)

    The Undersigned (hereinafter both referred to as “the Undersigned”) for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, including without limitation, the right to participate in the FESTIVAL OF LIGHTS PARADE activities, events, and functions related thereto, hereby executes this Waiver and Release of Liability/Assumption of Risk and Indemnity Agreement in favor of the City of Michigan, Indiana, together with any and all agents, officers, instructors, members, representatives, boards, commissions, committees, departments, and employees thereof (hereinafter collectively referred to as “City.”) 

     

    1. Undersigned desires to participate in the FESTIVAL OF LIGHTS PARADE. By signing below, the Undersigned acknowledges and agrees to assume any and all risk and injury from participating in the FESTIVAL OF LIGHTS PARADE.  The Undersigned, having acknowledged awareness of the risks of injury, hereby expressly acknowledges and warrants to the City that the Undersigned will take all precautions necessary to protect the Undersigned against such risks, and that such risks shall be the sole responsibility of the Undersigned.  
    2. The Undersigned hereby waives, releases and discharges on behalf of himself/herself, or by any other person or entity acting on his/her behalf or on their own behalf, including but not limited to assignors, heirs, executors, and administrators, City from any and all claims or demands therefore on account of injury, loss, or damage to person or property, wrongful death actions, future claims, demands, liens, rights, costs, expenses, and other related items of damage or actions of any kind on account of, growing out of, or which may result from the Undersigned’s participation in the FESTIVAL OF LIGHTS PARADE, which arise or in the future may arise. The Undersigned expressly agrees to indemnify and hold the City harmless from any and all claims or demands therefore on account of injury, loss, or damage to person or property, wrongful death actions, future claims, demands, liens, rights, costs, expenses, and other related items of damage or actions of any kind by the Undersigned, or by any other person or entity acting on his behalf or on their own behalf, including but not limited to assignors, heirs, executors, and administrators, on account of, growing out of, or which may result from the participation in the FESTIVAL OF LIGHTS PARADE, which arise or in the future may arise.  It is expressly intended that such indemnification and hold harmless obligation shall extend to and include attorney fees and costs incurred by the participation in City in defending any claim, causes of action, wrongful death causes of action, or demands taken by the Undersigned.  This release shall apply to any FESTIVAL OF LIGHTS PARADE I attend now or in the future on City owned property. 
    3. This Waiver & Release of Liability shall be construed and enforced in accordance with the laws of the State of Indiana. Should any portion of this Waiver & Release of Liability be judicially determined invalid, voidable or unenforceable, for any reason, such portion of this Waiver & Release of Liability shall be severable from the remaining portions herein and the invalidity, voidability, or unenforceability thereof shall not affect the validity, effect, enforceability, or interpretation of the remaining provisions of this Waiver & Release of Liability.   The Undersigned declares that he/she is over the age of eighteen (18) years, of sound mind, and has carefully read this Waiver & Release of Liability and understands and consents to the terms herein. The Undersigned further declares and represents that no promise, inducement or agreement not herein expressed has been made to the undersigned, and that the terms of this Waiver & Release are contractual and not a mere recital. 
37. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
39. Electronic Signature
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41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

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