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Kamehameha Schools <br />Indemnification Statement <br />For use by Non -KS Individuals Participating in a KS Event/Function <br />Name of KS sponsored event: P&R Age Group & Exponent Track & Field Meets <br />Date(s) of Event: February 7 & 21, 2015 <br />From <br />Time(s): <br />To <br />From To <br />The undersigned individual(s), and his, its or their heirs, personal representatives, successors and <br />permitted assigns, for and in consideration of the Kamehameha Schools ("KS") permitting and <br />allowing the participation in the above designated event herein jointly and severally agree(s) to <br />indemnify, defend and hold forever harmless The Kamehameha Schools and its Trustees, employees <br />and agents (collectively also "KS") against any and all loss, liability, demands, claims, suits, actions or <br />proceedings of every name, character and description (including but not limited to attorneys' fees and <br />cost(s) which may be suffered or incurred by or brought against KS for or on account of any injuries, <br />wrongful death or damages to any person(s) or property arising directly or indirectly, by or in <br />consequence of the participation in the above stated event or on the designated site or any other KS <br />facility by the undersigned individual(s)). The undersigned hereby certifies that prior to signing on <br />the line provided, it has carefully read the provided event information and accepts the event/program <br />"as is". <br />The undersigned further assumes all risks of injury arising out of any condition in the above stated <br />event or on the designated site and/or facility used, or in or on any other KS facility, whether such <br />condition is latent or apparent, and waives any and all claims against KS for any injury to person or <br />property which may be sustained by the undersigned as a result of the undersigned's participation in <br />the above stated event and or on KS property. The undersigned understands and acknowledges that <br />KS makes no representation or assurance that the designated event and/or facility or any other KS <br />event or facility is safe or fit for the undersigned's intended use, and the undersigned agrees that the <br />undersigned will be solely responsible for making all appropriate arrangements to ensure that the <br />designated event and site and/or facility or any other KS facility is safe and fir for the undersigned's <br />intended use. <br />Any and all physical damage to KS facilities and/or property arising directly or indirectly out of the <br />undersigned's use of the site and/or facility shall be repaired and/or replaced by the undersigned <br />within ten days of the event date. In the event that the undersigned fails to satisfactorily repair <br />and/or replace the damage within such period, KS, without waiving any rights, may undertake to <br />repair and/or replace such damage, and the undersigned agrees to reimburse and shall reimburse KS <br />for all actual costs incurred plus an administrative cost of 10% of the actual costs, within five days <br />after receipt of the bill. <br />Participant Signature <br />Date <br />Parent Guardian Signature (if Participant is under the age of 18) Date <br />