Terms and Conditions
The Voice Forum
AN EVENT PRODUCED BY REENA GUPTA MD INC
EVENT WAIVER AND RELEASE OF LIABILITY AND PHOTO RELEASE CONSENT
Event: The Voice Forum 2020 produced by Reena Gupta MD Inc and all other activities held at or in conjunction with the Event.
In consideration of my being permitted to participate in the Event and Activity referenced above (collectively, the “Activity”), wherever the Activity may occur, I hereby attest that, after reading this Form completely and carefully, I acknowledge that my participation in the Activity is entirely voluntary, and I further understand and agree as follows:
INTELLECTUAL PROPERTY OF PRESENTERS: I hereby acknowledge that all presented material at The Voice Forum (“Event”), a virtual event, is the sole intellectual property of the presenter. I hereby agree that I will not record, screenshot, copy or otherwise retain any presentation materials including, but not limited to, video of the presentation, presented slides, or livestream Q&A. I understand that if I am found to do so, I will be in violation of the presenter’s intellectual property rights and will be prosecuted as permitted by law. Any attendee found to have violated this portion of the agreement will also be banned from participation in all future events produced by The Voice Forum and Reena Gupta, MD.
ASSUMPTION OF RISKS: I hereby assume all of the risks of participating in all activities at “Event”, including but not limited to, any risks that may arise from the negligence or carelessness of Reena Gupta MD Inc, the sponsor of The Voice Forum, their subsidiaries, affiliates, directors, officers, employees, partners, contractors, agents, representatives, volunteers, successors and assigns (collectively, the “Host”) and/or from dangerous or defective equipment or property owned, maintained, operated or controlled by the Host. I understand that incidental to my participation in the Activity, I may be engaging in activities that involve the risk of personal injury, illness, permanent disability, and that such participation may also involve the risk of severe economic and property loss and damage. I understand that these risks may result from the actions, negligence and failure to act of myself and others and from the condition of any property, facilities or equipment used. I also understand that there may be risks involved which are not known to me or to the Released Parties, and may not be foreseen or reasonably foreseeable by any of us at this time or at the time of the Activity. Despite knowing these risks, I hereby elect to voluntarily participate in the Activity and agree to assume all related risks, including without limitation those enumerated above, and accept personal responsibility for any injury of any kind or nature that I or my property may suffer arising out of or in connection with my participation in the Activity.
PHYSICAL CONDITION/MEDICAL AUTHORIZATION: I hereby certify that I am physically fit for participation in the Event, have the skill level required in conjunction with the Activity, and have not been advised otherwise. I agree that before I participate in the Activity, I will inspect all related facilities and equipment. In connection with any injury sustained or illness or medical conditions experienced during my attendance and participation in connection with the Activity, I authorize any emergency first aid, medication, medical treatment deemed necessary by the attending medical personnel if I am not able to act on my own behalf. Additionally, I authorize medical treatment for me, at my cost, if the need arises; however, I acknowledge that the Released Parties shall have no duty, obligation or liability arising out of the provision of, or failure to provide, medical treatment. In consideration for permitting me to engage in or participate in the Activity, I agree for myself, my executors, administrators, heirs, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE the Host from any and all liability, including but not limited to, liability arising from the negligence of the Host, for my death, disability, personal injury, property damage, property theft, or any other damage or actions of any kind which may affect or impact me in any way arising from the Activity. (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the Host from any and all liabilities or claims made as a result of my participation in the Activity, whether caused by the negligence of the Host or otherwise.
PHOTO RELEASE: By my participation and attendance, I voluntarily and knowingly agree and do give my express consent to:
- Authorize the professional staff and such assistants, photographers, and technicians to take still photographs and produce educational materials, including video, as well as other audio-visual recordings.
- Permit such photograph, motion pictures, video and/or auditory recording to be published in professional journals and medical books or other medical educational research purposes; and to be used at professional meetings of any kind.
- Further permit such photograph, motion pictures, video, and/or auditory recording to be used on practice websites for purposes including but not limited to testimonial patient stories.
- Further permit the modification or retouching of such photographs for the above mentioned uses.
- Although I have given permission to the publication of all details, videos and photographs concerning my case, it is specifically understood that I will not be identified by name.
Liability Release: I understand that the released items may be disclosed to students or trainees, other individuals and/or organizations outside of the Host at which point the items are no longer under the protection of the Host. I release the Host, its agents, employees and any other persons involved with taking or producing these items from any and all liability that might arise as a result.
Revoking Permission: I understand that I can revoke this permission at any time by contacting the Foundation Public Relations and Marketing Communications department via mail at the above address. However, I also understand that the Host has no control over disclosures made outside of the Host before I revoke my permission.
This Accident Waiver, Photo Release and Release of Liability Form (“Release Form”) shall be construed in accordance with the laws of California.
This Release Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT; AND I FULLY UNDERSTAND ITS CONTENT AND FURTHER UNDERSTAND THAT BY MY PARTICIPATION AND/OR ATTENDANCE I AM AGREEING AND I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND AGREE TO IF OF MY OWN FREE WILL. IF THE PARTICIPANT IN A MINOR, THE ATTENDANCE AND PARTICIPATION OF THE PARENT OR GUARDIAN DOES HEREBY REPRESENT THAT HE/SHE IS ACTING IN SUCH CAPACITY, HAS CONSENTED TO HIS/HER CHILD’S PARTICIPATION IN ACTIONS AT THE EVENT AND HAS AGREED INDIVIDUALLY AND ON BEHALF OF THE CHILD, TO THE TERMS OF THE RELEASE FORM SET FORTH ABOVE.