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Why a waiver? Several chapters have had incidents at outings where chapterettes have broken bones, shattered shoulders and one in Ontario had someone drop dead on a bus trip and had no contact information on who the family of this widow was.  Add your chapter name and RHS number at the top and carry a copy with you on all chapter outings. Cut & paste this form to print into your word document to print then personalize for your chapter.


Waiver Release & Indemnity Form








Home Phone: 1-250- ______________________ Cell: 1-250- ________________________


Date of Birth:   Month_________________________ Day________ Year________________


In Case of Emergency notify:___________________________________________________



Home Phone: 1-250- ______________________ Cell: 1-250- ________________________


Doctor’s Name * Phone #______________________________________________________


I ___________________________________________________________understand and agree that my participation in
                 (please print clearly)

 any events, programs, trips or activities organized, operated and conducted by the Chapter named  herein   THE RED HOT DIVAS CHAPTER #47097 OF THE RED HAT SOCIETY  and/or the Red Hat Society and various chapters and members registered with the Red Hat Society, is conditional upon my execution of this document.

 I, the undersigned, agree not to sue and I further agree to indemnify and save harmless the officers, directors, owners, employees, volunteers and affiliates of the above mentioned chapter and the Red Hat Society, from all expenses, fees, liability, and damage award or cost of any type whatsoever arising from my participation in these events, programs, trips or activities.

 I, the undersigned, my heirs, legal representatives, successors or assigns, hereby release the above mentioned chapter The Red Hot Divas chapter # 47097 of the Red Hat Society, its officers, directors, owners, employees, volunteers and affiliates from any and all claims, debts, actions and liability which may arise, directly or indirectly, from participating in any or all events, programs, trips or activities, for any loss, injury, death, or damages, however caused or arising.

 I, the undersigned, understand the risks of membership and accept the terms and conditions which apply to my becoming a member of the above mentioned chapter.

 I have read and understand this waiver, Release and Indemnity. I have been given the time and opportunity to consult with legal consul before signing.

Signature:____________________________________   Date:________________________

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