Caring Conversations - A Community Health Forum - BarbaraCares - Breast Cancer Advocacy | Breast Cancer Support

Participant Waiver - Thank you for your interest in this community event presented by BarbaraCares. Please be aware of the following concerning this activity and the full release of liability towards the BarbaraCares Foundation and their affiliates on the day of the event. I hereby acknowledge and understand that the 2019 novel coronavirus (COVID-19) has been declared a worldwide pandemic by the World Health Organization and is reported to be extremely contagious and easily spread through air, person-to-person contact, and contact with contaminated objects. COVID-19 can cause serious and potentially life-threatening illness and even death. By signing this Waiver OR clicking that you have read and understand , I hereby acknowledge and agree that BarbaraCares is taking appropriate and reasonable steps to hold all of its events, including this event, in a safe and healthy manner in consideration of its attendees and participants. However, I acknowledge and understand that BarbaraCares does not make any guarantees that I will not become exposed to, or infected by, COVID-19 while attending or participating in this event. I voluntarily assume the risk that I may become exposed to and that such exposure or infection may result in illness, disability, and/or death. By signing this Waiver OR clicking that you have read and understand, I knowingly and voluntarily agree to follow all required and relevant federal, state, local, and BarbaraCares guidelines and recommendations to maintain the health and safety of all participants. These safety and health guidelines include, but are not limited to, wearing a mask during the event, practicing social distancing by keeping at least six feet between myself and other persons at all times, and regularly using personal sanitation methods such as hand sanitizer. I acknowledge that failure to comply with these practices may result in exposure to, or contraction of, COVID-19 and may put others at risk. By signing this Waiver OR clicking that you have read and understand, I acknowledge and agree that I will not attend nor participate in the event if I have experienced any illness or COVID-19 related symptoms within any of the fourteen (14) days immediately prior to the Event. Such symptoms include, but are not limited to, cough, fever, higher than normal temperature, abnormal fatigue, abnormal body aches/pain, shortness of breath, nausea and/or loss of taste or smell. I will not attend the event if I have tested positive for COVID-19, or if I have been in contact with any person that has tested positive for COVID-19 or shown COVID-19 related symptoms, within any of the fourteen (14) days immediately prior to the event. If I display symptoms commonly related to COVID-19 during the event, I agree that BarbaraCares and it's representatives may, in its sole discretion, instruct me to immediately leave the premises for the remainder of the event, which I will promptly comply with. In consideration of being allowed to participate in this event, I hereby expressly assume all risks, including bodily and personal injury, death, property loss or other damages of any kind arising in any way out of my attendance or participation in the event and related activities. Due to the ongoing coronavirus pandemic, we are limiting crowd size for this event. We strongly advise maintaining proper social distance, mask-wearing, hand sanitizing practices, and all CDC recommended guidelines. While we (The BarbaraCares Foundation) will advise of proper protocols, we understand that we cannot guarantee individuals, groups, vendors, etc. will not be potentially exposed during this event to COVID-19 or MonkeyPox. It is understood that all participants will adhere to CDC guidelines, event directions and any additional local instructions for this event. It is my responsibility to dress appropriately. Although route maps, sanitizers, refreshments and other assistance may be made available during this event, I am solely responsible for my own health and safety. I represent that I am physically fit, well and able to attend or participate in this event. I hereby for myself, my heirs, executors and administrators, release, discharge and agree not to sue the BarbaraCares Foundation, their respective officers, directors, volunteers, employees, sponsors and agents, from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in or attendance at this event and related activities whether resulting from the negligence of any of the above or from any other cause. I agree that my assumption of risk and release hereunder shall be as broad and inclusive as is permitted under applicable law. If any portion of this agreement is held invalid, the remainder shall continue in full force and effect. I grant full permission in perpetuity to the organizers of this event to use, reuse, publish and republish my name and image as a participant in the event in photographs, video or other recordings. I have read, understand and agree to the terms of this agreement. If participant is a minor or acts in accordance with a legal guardian, the parent or guardian must sign and agree to the below: I am the parent and/or legal guardian of Participant, and I hereby consent to his/her participation. I hereby agree on behalf of myself and Participant to its terms. Furthermore, photography, audio, and video recording may occur at any event or program produced and presented by BarbaraCares. By registering for the event, you consent to interview(s), photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for news, web casts, promotional purposes, telecasts, advertising, inclusion on websites, social media, or any other purpose by BarbaraCares and its affiliates and representatives. Images, photos and/or videos may be used to promote similar BarbaraCares events in the future, highlight the event and exhibit the capabilities of the BarbaraCares Foundation. You release BarbaraCares, its officers and employees, and each and all persons involved from any liability connected with the taking, recording, digitizing, or publication and use of interviews, photographs, computer images, video and/or or sound recordings. By registering for the event, you waive all rights you may have to any claims for payment or royalties in connection with any use, exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose or sponsoring of such use, exhibiting, broadcasting, web casting, or other publication irrespective of whether a fee for admission or sponsorship is charged. You also waive any right to inspect or approve any photo, video, or audio recording taken by BarbaraCares or by third parties designated to do so by BarbaraCares. You have been fully informed of your consent, waiver of liability, and release before entering the event. *

I Have Read And Understand

Register below to attend the upcoming community health forum august 27,2022 (11am - 12noon)
Eugene mccray community center - 4932 wilbarger st. fort worth, tx. 76119

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Register below to attend the upcoming community health forum august 27,2022 (11am - 12noon)Eugene mccray community center - 4932 wilbarger st. fort worth, tx. 76119​

​Sign-up to receive our quarterly newsletter

Register below to attend the upcoming community health forum august 27,2022 (11am - 12noon)
Eugene mccray community center - 4932 wilbarger st. fort worth, tx. 76119

Sign-up to receive our quarterly newsletter