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PEOPLE AND TREES, INC.
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PEOPLE AND TREES, INC.
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Last modified
11/20/2018 8:28:15 AM
Creation date
11/20/2018 8:23:23 AM
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Contracts
Company Name
PEOPLE AND TREES, INC.
Contract #
N-2018-214
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
11/30/2019
Insurance Exp Date
9/18/2019
Destruction Year
2024
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reimburse the City. If I need medical treatment, I agree to be financially responsible for any costs <br />incurred as a result of this treatment. I am aware and understand that I should carry my own health <br />insurance. <br />I am 18 years or older. I understand the consequences of signing this Release of Liability and <br />Assumption of Risk document, including a release of City from any and all claims for personal <br />Injury and damages; assuming all of the risks associated with participating In this Aettvity/Event <br />including travel to and from the Activity/Event; and promising not to sue the City. <br />I understand that there is the possibility that I may be interviewed, photographed and/or videotaped <br />during this particular activity, and I hereby allow the City staff to use the photographs, interviews, <br />and/or video materials for City publicity purposes. <br />I have read this agreement and understand its contents. I understand that by signing this document, I <br />am releasing the City of Santa Ana, its elected officials, public officials, employees, consultants, <br />volunteers, and agents from any and all liability of any kind associated with my participation in this <br />Activity/Event. <br />PARTICIPANT SIGNATURE: DATE: <br />PARTICIPANT PRINT NAME: <br />If Participant is under 18 years of age: <br />I am the parent or legal guardian of the Participant. I understand the legal consequences of signing <br />this Release of Liability and Assumption of Risk document, including a release of City from any <br />and all claims for personal injury and damages; assuming all of the risks associated with <br />participating in this Activity/Event including travel to and from the Activity/Event; and <br />promising not to sue the City. I allow Participant to participate in this Activity/Event. I understand <br />that I am responsible for Participant's actions and agree to be bound by the terms of this document. <br />I have read this document and am signing this freely and without reservation. No other representation <br />except those contained herein have been made to me. <br />SIGNATURE OF MINOR PARTICIPANT'S PARENT OR GUARDIAN: <br />NAME OF MINOR PARTCIPANT'S PARENT OR GUARDIAN: <br />
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