World Down Syndrome Day Walk Saturday 20^th March, 2010

Full name:
Telephone:
E-mail:
Full names of other walkers:
Are you interested in volunteering for All 4 DS? If yes please write your residential location	Yes No ……………………………………………………………………..

Please read the following disclaimer and sign below to confirm acceptance for all entrants listed above.

All 4 Down’s Syndrome (hereinafter referred to as the Organiser) will take every precaution necessary to ensure the safety and welfare of all participants but the Organisers, their officers, staff, agents and volunteers do not assume responsibility for any accidental injury or damage.

Participants are responsible for obeying all rules and directions as laid out by the Organisers in the time before, during and after the event exercising caution and common sense at all times to avoid injury.

Agreement to participate in this event constitutes permission for the use of the participants name and photograph, voice, image or likeness for promotional purposes. All submitted applications become the property of the Organisers and will not be returned.

Declaration

In consideration of the forgoing, I, for myself, the above listed applications and all children, my heirs, executors, personal representatives, successors, waive and release any and all rights, claims and causes of action I may have against All 4 Down’s Syndrome, Safa Park, Dubai Police, Dubai Municipality, and any and all sponsors, their representatives and successors, that may arise as a result of my participation in the World Down Syndrome Day Walk and any pre or post event-related activities. I attest that I am physically fit and have no medical conditions that would prevent me from participating in this event.

I hereby confirm that I have read and understand the above and I/we (as listed above) agree to be bound by it.

Signature of applicant…………………………………………………………. Date………………………...