Caroline Symmes Reception

Tuesday, March 7, 2023 • 6:00 p.m. - 7:30 p.m.

Riley Children’s Foundation and the Caroline Symmes Children’s Cancer Endowment cordially invite you to attend the dedication and celebration of the CAROLINE SYMMES LABORATORY

Provide information for ALL the attendees below

If there are more than four attendees coming to the celebration please indicate in the "OTHER" box below

As consideration for the opportunity to volunteer for, participate in or attend any and all related events and activities (together, the "Event"), for the charitable benefit of Riley Children's Foundation, LLC (the "Foundation") and Riley Hospital for Children at Indiana University Health (the "Hospital") and the satisfaction, happiness and other personal benefit I will receive from volunteering for, participating in and/or attending the Event and supporting the Foundation and Hospital, I (the “Attendee”) hereby affirm that I am at least 18 years old and I agree to be bound, or if I am not at least 18 years old, that my parent(s) or legal guardian(s) and I agree to be bound, by this Acknowledgment, Waiver, Release of Liability, and Indemnification (the “Waiver”) and each of the following terms and conditions:

Not a Foundation Activity. I/we understand and acknowledge that the Event is not sponsored, conducted, supervised, controlled or monitored in any way by the Foundation, the Hospital, Indiana University, or Indiana University Health (collectively, the "Corporations"), and that the Foundation and the Hospital are merely the charitable beneficiaries of all or a portion of the proceeds from the Event.

Voluntary Involvement. I/we understand and acknowledge that Attendee’s involvement in the Event is entirely voluntary.

Identification of Risks. I/we understand that Attendee’s involvement in the Event, as well as access to or use of the Event Property, may involve potentially hazardous activities and carry certain risks, inherent or otherwise, which cannot be eliminated, including risks of injury and loss, both to person and to property, including minor injuries, such as scrapes, bruises and strains, as well as more significant and even catastrophic injuries such as concussions, broken bones, paralysis, and death. Some, but by no means, all of the risks include the above referenced physical demands, patent or latent premises or equipment conditions, known and unknown medical conditions, and the acts, omissions and negligence of others including attendees, participants and/or volunteers. For purposes of clarity, I/we understand that this Waiver is intended to address all risks of any kind associated with Attendee’s involvement in any aspect of the Event, including but not limited to risks created by actions, inactions, carelessness, or negligence on the part of the Event Host, Corporations, and any of their parents, related and/or subsidiary organizations, partnerships, companies and entities including, without limitation, Indiana University (“I.U.”), and their respective directors, trustees, governors, officers, sponsors, volunteers, employees, and agents including, without limitation, the Board of Trustees of I.U., the Foundation’s Board of Governors and officers and the Hospital’s Board and officers, other participants, advertisers, and the owners and the lessors of the Event Property (together, the “Released Persons”).

Assumption of Risks. I/we realize that there may be other risks not known to Attendee or not readily foreseeable, but I/we accept and assume all such risks, whether or not identified, and I/we assume all responsibility for any liability, injury, losses and damages which Attendee may suffer as a result of or in any way connected with Attendee’s involvement with the Event.

Acknowledgment and Assumption of COVID-19 Risks. I/we understand that attending, volunteering and/or participating in the E vent during the COVID-19 pandemic presents unique health and safety risks and dangers, known and unknown, inherent and otherwise, that cannot be eliminated and which can cause injury, illness, paralysis or death to me/us, other of my/our family members and other third parties. Some, but by no means all, of the risks presented include: (i) COVID-19 is highly contagious; (ii) individuals frequently do not develop COVID-19 symptoms until after they are contagious; (iii) exposed individuals may have more serious symptoms due to other known and unknown medical conditions; (iv) failure to properly sanitize the facilities and/or equipment; (v) others involved with the Event’s failure to take proper actions to prevent or minimize exposure and/or failure to have and/or use proper protective equipment; and (vi) the acts, omissions and negligence of the Released Parties. I/we accept full and sole responsibility for these COVID-19 risks, both known and unknown, inherent or otherwise, related to attending, volunteering and/or participating in the Event, and acknowledge that I/we are voluntarily attending, volunteering and/or participating in the Event even with knowledge of these risks.

Release and Waiver. I/we release and discharge the Released Persons from any and all liability for and waive any and all claims for injury, loss, damage, or expense, including attorneys' fees, in any way connected with my involvement in the Event (a "Claim"). This release applies even if the Claim is alleged to have been caused in whole or in part by the negligence or other misconduct of any of the Corporations or any of the Released Persons.

Indemnification. I/we agree to indemnify, defend and to otherwise hold harmless (in other words, to reimburse and to be responsible for) the Released Persons from and against all Claims (including without limitation the cost of defending any such Claim) in any way connected with or arising out of Attendee’s involvement in the Event (including Claims relating to Attendee’s actions while under the influence of alcohol or any other substance served or made available in connection with the Event). This obligation to indemnify, defend and hold harmless applies even if the alleged Claim is asserted to have been caused in whole or in part by the negligence or other misconduct of any of the Corporations or any of the Released Persons. I/we understand that this indemnification includes without limitation both third-party Claims and Claims Attendee might make, or that might be made on Attendee’s behalf, that are released or waived by this Waiver.

SOLE NEGLIGENCE OF OTHERS. I/WE UNDERSTAND AND AFFIRMATIVELY ACKNOWLEDGE THAT ATTENDEE IS RELEASING CLAIMS AGAINST OTHERS AND AGREEING TO INDEMNIFY OTHERS FOR ACTS THAT MAY ARISE SOLELY FROM THE MISCONDUCT OF THOSE THAT ATTENDEE IS RELEASING AND/OR INDEMNIFYING.

Rules Acknowledgement: I/we acknowledge that Attendee has been apprised of and agree to abide by the Event rules and policies and procedures in effect at any time during my involvement with the Event.

Damage Responsibility: I/we agree that I/we will be financially responsible for any damage Attendee causes during the Event, including to the Event Property or any equipment or property used in the Event, whether accidental or intentional.

Binding Effect. This Waiver shall be binding upon and inure to the benefit of Attendees’ relatives, heirs, next of kin, executors, administrators, beneficiaries, personal representatives, successors, and assigns who might pursue any legal action or claim for such liability, injury, loss or damage.

General Provisions. The headings in this Waiver are used solely for convenience and shall not be deemed to limit the subject of the provisions of the Waiver or be considered in their interpretation. If any term or provision of this Waiver, or the application thereof to any persons or circumstances, shall to any extent or for any reason be held invalid or unenforceable, the remainder of this Waiver and the application of such term or provision to persons or circumstances other than those as to which it is held invalid or unenforceable shall not be affected thereby, and each term and provision of the Waiver shall be valid and enforceable to the fullest extent permitted by law.

Governing Law; Venue. This Waiver and all related proceedings shall be governed by and interpreted under the laws of the State of Indiana. I/we consent to any action with respect to this Waiver being brought only in the State and federal courts located in Marion County, Indiana.

I/WE UNDERSTAND THAT THIS IS AN ACKNOWLEDGMENT, WAIVER, RELEASE OF LIABILITY, AND INDEMNIFICATION. I/WE HAVE READ THIS ACKNOWLEDGMENT, WAIVER, RELEASE OF LIABILITY, AND INDEMNIFICATION AND FULLY UNDERSTAND ITS CONTENTS AND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I/WE AM/ARE SIGNING THIS ACKNOWLEDGMENT, WAIVER, RELEASE OF LIABILITY, AND INDEMNIFICATION VOLUNTARILY, FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE NOT STATED HEREIN; INTEND FOR IT TO BE A COMPLETE AND UNCONDITIONAL WAIVER, RELEASE OF LIABILITY AND INDEMNIFICATION TO THE GREATEST EXTENT ALLOWABLE BY LAW AND AGREE THAT IF ANY PORTION OF IT IS HELD INVALID, THE REMAINDER SHALL CONTINUE IN FULL FORCE AND EFFECT.

A parent or legal guardian must sign for each Event volunteer, participant or attendee under 18 years old. As the parent or legal guardian of the above named minor and with appreciation of the inherent risks and dangers associated with the Event, I fully agree to, understand, and hereby personally accept and undertake, individually and in my own name and on behalf of the Attendee, all of the obligations stated above in this Acknowledgement, Waiver, Release of Liability, and Indemnification.

I agree and acknowledge the Waiver, Release of Liability and Indemnification and other terms and conditions listed above for every participant included in my registration. Checking this box is equivalent to my signature. I represent that I have authority to sign on behalf of all participants included in my registration. I also represent that I am the legal guardian(s) and/or parent(s) of any participant included in my registration under the age of 18 and undertake and personally accept any obligation stated in the above Waiver. I understand this Waiver may be stored electronically and agree that a copy is authentic.
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