Custom Application

Glow Night Attendance

av_timer
Deadline: Sep 19, 2024 11:59 pm (GMT-05:00) Central Time (US & Canada)
date_range
Date: Sep 18, 2024 6:00 pm - Sep 18, 2024 8:00 pm (CDT)
attach_money
Free

About the event

Join us for a night of fun, games, devotion, and community connection for our Youth Glow Night!
Hartselle Area Chamber of Commerce
Hartselle Area Chamber of Commerce
Hartselle Area Chamber of Commerce
Hartselle Area Chamber of Commerce

About the application

Please provide your information if you wish to participate in the Glow Night for 2024. If you are under the age of 18, please have your parent or guardien complete the submission for you. For any questions, please contact Chris at the Chamber of Commerce. 256.227.6771. 


By completeing and signing this form, you release the Hartselle Area Chamber of Commerce, Morgan County Sheriffs Posse, and all their affiliates from responsability in the event of injury in any form durring the event, and understand that we will not be liable for any loss or damage to personal property on the way to, durring, or after dismissal.

Terms & Conditions

Waiver of Liability and Release

In consideration of the opportunity for my child/ward to participate in the above-referenced event, I, the undersigned, on behalf of myself, my child/ward, and our heirs, successors, and assigns, agree to the following:

  1. Assumption of Risk
    I acknowledge that participation in [Name of Event] may involve inherent risks, including but not limited to physical injury, illness, or damage to property. I voluntarily assume all risks associated with participation in this activity.

  2. Waiver of Liability
    I hereby release, waive, discharge, and hold harmless the Morgan County Sheriff's Posse, the Hartselle Area Chamber of Commerce, their affiliates, staff, volunteers, sponsors, event organizers, and all other associated individuals or entities (collectively, "Released Parties") from any and all claims, liabilities, demands, or causes of action that may arise from my child's/ward's participation in the event, whether caused by negligence or otherwise, to the fullest extent permitted by law.

  3. Medical Consent
    In the event of an emergency, I authorize the organizers of the event to secure any necessary medical treatment for my child/ward. I understand that I will be responsible for all costs associated with such treatment.

  4. Compliance with Rules and Regulations
    I agree that my child/ward will abide by all rules and regulations set forth by the event organizers. Failure to comply may result in removal from the event.

  5. Photography/Media Release
    I understand that photographs or video recordings may be taken during the event, which may include images of my child/ward. I grant permission for these images to be used in future promotional materials without compensation.

  6. Indemnification
    I agree to indemnify and hold harmless the Released Parties from any loss, liability, damage, or cost they may incur due to my child’s/ward’s participation in the event.

Acknowledgment

I have read and fully understand this Waiver of Responsibility and Release of Liability and agree to its terms on behalf of myself and my child/ward. I sign it voluntarily and with full knowledge of its significance.

Questions on the application

User information

  • First name
  • Last name
  • Email

Additional information

  • Participant Leagal First and Last Name
  • Participant Age
  • Participant Phone Number
  • Partent/Guardian Legal First and Last Name
  • Partent/Guardian Phone Number
  • I have read and release the Hartselle Area Chamber of Commerce, the Morgan County Sherrifs Posse, and all thier affiliates from all liabilities.
  • Participant is either over the age of 18, or this form was completed by a legal parent or guardian
  • If you are bringing students or teen groups, how many are you planning to bring? If it is just you please mark 1.
Glow Night Attendance
Glow Night Attendance
Glow Night: Glow Up - Throw Down