Name of Graduating Senior *
First Last Name of Driver *
First Last Address * Photo, Video & Likeness Release from Named Parent/Guardian *
I grant and authorize the
Rossmoor Homeowners Association and its assignees the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me/my child(ren) to be used in and/or for any lawful promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration. This authorization shall continue indefinitely, unless I otherwise revoke this authorization in writing. I waive the right to inspect or approve any finished product in which my likeness appears, including written or electronic copy. I hereby hold harmless and release Rossmoor Homeowners Association and its assignees from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate. Acknowledgement and Agreement to Indemnify *
I hereby declare:
This agreement shall be binding upon all participants and sponsors of the Graduate Celebration Parade (EVENT), on June 3th, 2023. I acknowledge that I possess a valid driver’s license and carry automobile insurance. I will follow all traffic signs and regulations while on the parade route, including stop signs, posted speed limit and yield to residents wanting to enter or leave their driveways. Any person who fails to follow the guidelines set forth herein will be ordered to leave the parade. I hereby agree to indemnify and hold harmless the Rossmoor Homeowners Association (RHA) and the Shops at Rossmoor (Shops), their officers/agents, representatives, volunteers, and/or employees from any loss or liability, as a result of injury, death, or property damage while participating in any and all activities occurring during or in route to or from the event. This includes but is not limited to travel to and from the event. I agree to forego and waive any and all claims that I may have against RHA and the SHOPS and agree that neither I nor my heirs, assigns, agents and those acting on my behalf who may make a claim against RHA or the SHOPS of any loss. I agree here to waive all claims I may have against the Rossmoor Homeowners Association(RHA) and the Shops at Rossmoor(Shops) and agree that neither I, nor my estate, heirs, assigns or beneficiaries nor anyone else acting on my behalf, will make a claim against the RHA or the Shops for any injury, damage, death or other loss I may suffer. This release and indemnity includes but is not limited to claim for personal injury or wrongful death, (including claims related to emergency medical, drug and/or health issues, response, assessment or treatment) or other claim, including claims resulting from the negligence of RHA or the Shops. Contribution To Offset Costs
to register or participate in the Rossmoor Graduation Celebration Parade. NO FEE That said if you are in a position to make a contribution to offset the $5000 expense (insurance premiums and City & County permit fees, OCSD fees, and operational costs), we would greatly appreciate it. Thanks for your consideration.