ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM- HOMEOWNERS

This Release and Waiver of Liability (the “Release”) executed on __________ (date) by __________________ (“Homeowner”) releases the City of Newton (“City”), and each of its directors, officers, employees, volunteers, and agents from any liability regarding the Homeowner’s participation in the PorchFest Event of June 1, 2019 (“Event”) as the host of a venue for the Event.

In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including, but not limited to, liability arising from the negligence or fault of the City, all claims and damages for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: the City of Newton and/or the City’s directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;

(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this Release from any and all liabilities or claims made as a result of participation in this Event, whether caused by the negligence or fault of the City.

I acknowledge that the City and the City’s directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any third party or entity conducting a specific activity at or during the Event.

I understand while participating in the Event, I may be photographed or filmed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the City and the Event organizers, and their successor and/or assigns.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I, THE UNDERSIGNED HOMEOWNER, ACKNOWLEDGE AND AGREE THAT MY CONTACT INFORMATION (TELEPHONE NUMBERS, EMAIL ADDRESSES, PHYSICAL ADDRESSES) MAY BE DISTRIBUTED AND RELEASED IN ORDER TO COORDINATE PORCHFEST ACTIVITIES.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS DOCUMENT IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

Homeowner’s Signature:________________________________

Date:___________