PACT Parents and Children Together: Kids Day

Organization __________________________ Contact name________________________

Phone________________________________ e-mail_____________________________

Location request __________________________________________________________

I hereby, for myself, my heirs, and my personal representatives, agree to waive and release any and all claims, demands, actions, of whatever kind of nature, I may have against Parents and Children Together ("PACT"), its officers, directors, employees, contractors, licensee, agents, successors("Releasee") for any and all injuries and damages suffered by me caused by the negligence or otherwise of Releasee or other parties arising out of my participation in Kids Day activities.

I further grant full permission to PACT or its authorized agents to use any photographs, videotapes, motion pictures, recordings, or any other record of this event for any PACT purpose.

In the event of any litigation arising out of this agreement, the prevailing party shall be entitled to recover reasonable attorney’s fees from the other party.

I agree that this release is intended to be as broad and inclusive as permitted by the laws of the State of Hawaii, and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

This agreement shall be governed by the laws and enforced in the State of Hawaii.

This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

I further state that I have carefully read the foregoing release and know the contents thereof and sign this release of my own free will.

NAME (please print clearly)	SIGNATURE	TIME SLOTS (please check)
NAME (please print clearly)	SIGNATURE	6:00-8:00am	8:00-10:00am	10am-noon	Noon-2pm (downtown & Pearl City only)