Waiver of Liability & Indemnity Form 责任和赔偿豁免表 Thank you for registering for Think Blue, and Go Green: Beach Cleanup Day, an event organized by Diamond Love Foundation Limited. (DLFL) Kindly read through and acknowledge the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK & INDEMNITY AGREEMENT. 感谢您注册参与智爱基金会所主办的蓝色思维,绿色环保: 海滩清洁日活动。 请仔细阅读并确认《责任豁免、承担风险和赔偿协议》。 Full Name 姓名: Mobile Number 手机号码: Email Address 邮件地址: How did you get to know about this event? 你是如何知道这个活动? Activity date 活动日期: Would you like to receive updates on our future DLFL events and activities? 您是否希望收到我们未来DLFL活动的最新信息? Yes 要 No 不要 Release and Waiver of Liability, Assumption of Risk & Indemnity Agreement 《责任豁免、承担风险和赔偿协议》 Description of Beach Cleanup Activity Activities will include picking up and hauling man-made debris found along the beach and sorting items for proper removal. Activities will take place outdoors in hot and sunny conditions and involve walking over uneven terrain including through sand or in the water. Biting or stinging insects may be present. No swimming is permitted, but participants may choose to wade in the water at their own risk. Any debris that may cause harm, such as glass or needles should not be picked up. All personal protective equipment and supplies needed will be provided by DLFL. It is recommended to bring a reusable drinking container and any necessary personal items. Shoes must be worn at all times. Restrooms are available on-site. This Agreement covers use of tools provided by and/or participation in events organized by DLFL. 海滩清洁活动说明 活动将包括捡起和拖运海滩上发现的人造垃圾,并对物品进行分类,以便妥善清除。活动将在炎热和阳光充足的室外条件下进行,需要在不平坦的地形上行走,包括穿过沙滩或在水中行走。可能会有咬人或蜇人的昆虫出现。不允许游泳,但参与者可以选择涉水,风险自负。任何可能造成伤害的碎片,如玻璃或针头,都不应拾起。DLFL将提供所需的所有个人防护设备和用品。建议携带可重复使用的饮用容器和任何必要的个人物品。任何时候都必须穿鞋。现场有公共洗手间。 本协议包括使用由DLFL提供的工具和/或参与由DLFL组织的活动。 I, the Participant and/ Volunteer, do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with Beach Clean-up at East Coast Park Beach. 我,参与者和/或志工,在此确认并承认,我已完全了解与东海岸公园海滩清洁活动相关的固有危险和风险。 All warranties, conditions and other terms implied by statute or common law are hereby, to the fullest extent permitted by law, excluded. In consideration for being permitted to participate in beach clean-up activities, I warrant, represent and agree that: 1. I am in good health and have no physical condition and can fully participate in the activity without undue risk to my wellbeing. 2. I assume all risks from my participation including without limitation the risk of any negligence or recklessness by other participants. I understand that there may be risks involved which are not known to me or to DLFL at this time, or the time of the activities in which I may participate, and agree to assume such unforeseeable risks. 3. I hereby release, indemnify and hold DIAMOND LOVE FOUNDATION LIMITED (DLFL) , its directors, employees and volunteers, harmless from and against any and all claims, liabilities, injury, disability, death, loss or damage to person or property arising from the above activities, whether caused by negligence or otherwise. 在法律允许的最大范围内,所有担保、条件和其他由法规或普通法暗示的条款在此被排除。 作为被允许参加海滩清洁活动的代价,我保证、陈述并同意: 1. 本人身体健康,身体状况良好,能够充分参与活动,不会对我的健康造成不必要的风险。 2. 我承担我参与活动的所有风险,包括但不限于其他参与者的任何疏忽或鲁莽行为的风险。我理解可能存在我或DLFL目前或我可能参与的活动时间未知的风险,并同意承担此类不可预见的风险。 3.本人特此免除、赔偿并保护智爱基金会(DLFL)、及其董事、员工和志工免受因上述活动引起的任何和所有索赔、责任、伤害、残疾、死亡、损失或人身或财产损害,无论是否由疏忽或其他原因造成。 Parent/ Guardian Release 家长/监护人免责声明 (If applicable) I consent to my child/ward taking part in the Activity, and I agree to the waiver and indemnity that are set out in this agreement. (如适用)我同意我的孩子/受监护人参加活动,并同意本协议中规定的弃权和赔偿。 Please list down the name of the child(ren) and age (if they are under 16 years of age.) 请列出孩子的姓名和年龄(如果他们不满16岁) I have read this Agreement and fully understand and agree to the above stated. 我已阅读本协议,并完全理解且同意上述条款。 * Agree 同意 Submit