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2024 UW Trike Race Participant Form

Racer Name(Required)
RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT(Required)
IN CONSIDERATION of being permitted to participate in any way in the 2024 Trike Race Activity (Activity) I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. Hereby release, discharge, and covenant not to sue United Way of Lancaster County (UWLanc), its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessees of premises on which the Activity takes place, (each considered one of the RELEASEES herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the RELEASEES or otherwise, and I further agree that if, despite this RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, I or anyone on my behalf, makes a claim against any of the RELEASE’S, I will indemnify, save, and hold harmless each of the RELEASEES from any litigation expenses, attorney fees, loss, liability, damage or cost which any may occur as a result of such claim.
2. I do hereby give UWLanc, their assigns, and legal representatives the irrevocable right to use my name, picture, or photograph in any and all forms and media and for publicity purposes

"Get Connected. Get Help. - Never have those words, our tagline, meant more to us. The breadth of needs continue to increase as individuals try their best to navigate their new normal during a pandemic. Individuals not needing to seek services before reached out for help, and thankfully, United Way's investment in 211 allowed us to continue to respond, with compassion and empathy, 24 hours a day, 7 days a week, 365 days a year."

|Patricia Espinosa-Vargas
Director, PA 211 East