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By clicking on "I Agree," you agree, warrant and covenant as follows:
I wish to enter and participate in the Nashville AIDS Walk & 5K Run on Saturday, October 1, 2016. I, the participant (and parent or guardian if participant is younger than 18 years of age) intending to be legally bound, for myself, and my heirs, executors and administrators, waive, release and forever discharge any and all rights or claims for damage which I may have or which hereafter accrue to me against any and all person(s), organizations and legal entities affiliated with the Nashville AIDS Walk & 5K Run and more particularly the employees, officials and officers of Nashville CARES and its Board of Directors, producers of Nashville AIDS Walk & 5K Run, Nashville AIDS Walk & 5K Run, its sponsors and volunteers, individually and as a whole, together with their representatives, officers, agents, employees, successors, assigns and/or sponsors, for any and all damages which may be sustained or suffered by me in conjunction with my entry in, or arising out of, my travel to, participation in, or returning from said event.

I hereby authorize Nashville CARES and its agents to record on film, video, or other media my likeness and/or voice for internal or external promotional, educational, or other purposes and to maintain said record in the agency’s archives.

I understand that Nashville CARES is an agency providing HIV prevention education to the general public and comprehensive support services to persons infected and affected by HIV/AIDS.

I understand that upon accepting this release, these images/recordings may be made available to the general public without further notice to me. I agree to hold Nashville CARES blameless for any assumptions made by persons viewing/hearing these images/recordings about my HIV status, sexual orientation, personal or political affiliations, or any other assumption, and/or for any subsequent real or perceived insult or injury resulting from use or distribution of these materials by Nashville CARES.

I am aware I may revoke my informed consent at any point in time by submitting a request in writing, except to the extent that a release of materials has already occurred.
I agree I decline


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