*Registrant Waiver of Liability

In Consideration for allowing my participation in the Share Pregnancy And Infant Loss Awareness Walk, I, the abovesigned, intending to be legally bound, hereby, for myself, my heirs, executors, assigns and administrators, waive and release any and all claims for damages, demands, action and causes of actions against Hospital Sisters Health System, HSHS St. Vincent Hospital, Share, the sponsors, any and all persons or entities associated with this event and their affiliations, subsidiaries, officials, representatives, employees, successors and assigns (collectively, the “Releasees”) for any and all injuries suffered by me in this event or while on the premises of event including bodily injury, death, or property damage, whether caused by falls, contact with participants, conditions of the course, or negligence or carelessness of the Releasees or otherwise. I attest and verify that I am physically fit and have sufficiently trained for this walk. Further, I hereby grant full permission for the free use of my name and/or any photographs, videotapes, motion pictures, recordings or any other record of this event for any legitimate purpose.
Notice of Nondiscrimination:  English

Language Assistance:  Español | Hmoob | Deutsch | Français | 繁體中文 | Deitsch | Polski | العربية | Русский | Italiano | Tagalog | हिंदी  | ພາສາລາວ | 한국어 | Tiếng Việt | اُردُو |