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PHILADELPHIA INDEPENDENCE DAY PARADE VOLUNTEER APPLICATION
Name __________________________________________________________________
Address ________________________________________________________________
City ___________________________ State ________________ Zip ______________
Cell Phone _________________________ Email address ________________________
T-shirt size
(please circle one)
Small medium large extra large double X triple X
_________________________________________________________________________
Please return to any of the following as soon as possible or by June 20, 2009:
undersunpr@ in a pdf file
610-431-6511 – Fax
or by postal mail to:
Todd Marcocci
Producer – July 4th Parade
882 South Matlack Street, Suite 202
West Chester, PA 19382
PLEASE RETURN AND SIGN THE AGREEMENT OF RELEASE ALSO!!!
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I, the undersigned, hereby grant Welcome America, Inc., its shareholders, licensees, successors, legal and financial representatives, employees, independent contractors, producers, consultants, assigns, and/or any other related parties or participants (collectively “WAI”) the absolute and irrevocable right and permission to (a) use my legal and professional names, images, likeness, photographs and biographical information (collectively “My Person”), (b) reproduce, edit, exhibit, project, display, copyright, publish and/or sell photographs, moving pictures and/or videotaped images of me or My Person, with or without my voice, in which I may be included in whole or in part, and (c) circulate the foregoing in all forms of media, now known or hereafter invented (including, but not limited to, still photography, print materials, brochures, audio tape, videotape, soundtracks, and/or any other form of audio or visual recording), in connection with the annual Sunoco Welcome America Festival and all of its various and sundry events, including without limitation, Taste of Philadelphia and the July 4th Independence Ceremony, Party on the Parkway, Parade and Concert (collectively the “Festival”), other creative works, editorials, advertising, publicity, newsprints, competitive trade or any other form of printed material or audio or visual works related thereto or that may be used in connection therewith (collectively the “Creative Works”). I further waive any and all rights that I may have to inspect, control and/or approve of the Creative Works.
I hereby represent and warrant that I voluntarily and consciously accept and assume any and all risks (including, but not limited to, those related to severe bodily injury and/or death) that may result from my participation in and/or involvement with the Creative Works and/or Festival. I further represent and warrant that I release WAI, the City of Philadelphia, Sunoco, Inc., the Pennsylvania Convention and Visitors Bureau, Independence Visitors Center, Philadelphia International Airport, National Historic Park, Greater Philadelphia Tourism and Marketing Corporation, Penn’s Landing Corporation, ESM Productions, Inc.; Under the Sun Productions, Inc.; and any Festival sponsor(s), their officers, directors, employees, agents, successors and assigns (collectively the “Releasees”) from any and all liability that I, my family, my personal representatives, estate, heirs, next of kin and/or assigns may allege against the Releasees in connection with any and all claims of and/or causes of action for loss, damage, illness or injury suffered by me, My Person and/or my property (including without limitation severe bodily injury and/or death). I further represent, warrant and acknowledge that I am not entitled to any form of compensation whatsoever for the use of me, My Person and/or my property in the Creative Works and/or my participation in and/or involvement with the same and/or the Festival. I hereby release, discharge and agree to indemnify and hold harmless the Releasees from and against any and all liability related to loss, damage, illness and/or injury suffered by me, My Person and/or my property in connection with my participation in and involvement with the Creative Works and/or the Festival, including, but not limited to loss, damage, illness and/or injury attributed to or arising from (a) my breach of the above representations and warranties, (b) me entering into and executing this Release Agreement, (c) my intentional, negligent or reckless acts or omissions, (d) any blurring, distortion, alteration, optical illusion or use in composite form of My Person that may occur during the production, manufacturing, duplication, and/or display of the Creative Works, and/or (e) a violation of any of my personal or proprietary rights (including, but not limited to, my rights of publicity and privacy).
I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND IT TO BE, AMONG OTHER THINGS, A RELEASE OF ALL CLAIMS AND/OR CAUSES OF ACTION FOR MY INJURY OR DEATH OR DAMAGE TO ME, MY PERSON AND/OR MY PROPERTY THAT OCCURS WHILE PARTICIPATING IN OR DURING MY INVOLVEMENT WITH THE CREATIVE WORKS AND/OR THE FESTIVAL. I FURTHER AGREE THAT THIS RELEASE AGREEMENT OBLIGATES ME TO INDEMNIFY RELEASEES FROM ANY AND ALL LIABILITY FOR INJURY OR DEATH OF ANY PERSON AND DAMAGE TO PROPERTY CAUSED BY MY NEGLIGENT, INTENTIONAL OR RECKLESS ACTS OR OMISSIONS.
Name: __________________________________________ Date: ______________________________________________________
Name of Organization (if applicable): _____________________________________________________________________________
Address: ____________________________________________________________________________________________________
City: ___________________________________________ State: ______________ Zip: ____________________________________
Signature: ___________________________________________________________________________________________________
(Parental signature required, if under 18 years of age)
-----------------------
SUNOCO WELCOME AMERICA!
July 4th Parade
AGREEMENT OF RELEASE
(For parade elements and individual performers)
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