Waiver and Release

Hold Harmless & Media Release Agreement

This Hold Harmless & Media Release Agreement (the “Agreement”) is made as of (“Effective Date”) by and between Rocky Mountain Dachshund Rescue (“RMDR”), located at PO Box 522461, Salt Lake City, Utah 84152, and (“Participant”), located at (Enter your legal address below).

1. Assumption of Risk & Hold Harmless

I understand that participating in activities with Rocky Mountain Dachshund Rescue (“RMDR”) — including adoption meet-and-greets, transporting dogs, fostering, adopting, volunteering, attending events, and interacting with dogs — involves inherent risks. These risks may include, but are not limited to, dog bites, scratches, illness, allergic reactions, property damage, accidents during transport, and other unforeseen events.

I voluntarily assume all such risks, whether known or unknown, and accept full responsibility for any injury, loss, or damage that may occur to me, my family, or my property as a result of participation in these activities.

I agree to release, indemnify, and hold harmless RMDR, its officers, employees, and volunteers from any and all claims, demands, liabilities, damages, costs, or expenses of any kind arising out of or connected with my participation in these activities, to the fullest extent permitted by law.

2. Photo & Media Release

I consent to RMDR using my likeness, and/or the likeness of my family members or minor children, as well as photos of my pets, adopted dog(s), in photographs or videos taken during RMDR events, home visits, or those I voluntarily provide.

I grant RMDR the unrestricted, worldwide, and perpetual right to use, publish, edit, or distribute these images in any media for promotion, education, or fundraising, without compensation.

I release RMDR, its volunteers, and affiliates from any claims or liabilities arising from such use. If minors are depicted, I confirm that I am their parent/guardian and authorized to give this consent.

3. General Terms

I am at least 18 years of age and have full legal authority to sign.

This agreement is governed by Utah law, and disputes will be resolved in Utah courts.

If any part of this agreement is found invalid, the rest remains enforceable.

Acknowledgment
By signing below, I acknowledge that I have read and understand this agreement. I sign it freely, knowing it is a release of liability, assumption of risk, and photo/media consent.

Participant Name: (Your legal name)
Address: (Your legal address)
Digital Signature: (Your digital signature)
Date: (Date signed)

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:

I hereby certify that I am the parent or guardian of (“Minor Participant”), and do hereby give my consent without reservation to the foregoing on behalf of this individual.

Participant's Name (Your Name)
I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely signing this agreement. I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally. I am aware that this is a release of liability and a contract and that I am signing it of my own free will.
Participant's Address (Your Address)
This format is required (###) ###-####
Your Emergency Contact Name
In case of an emergency who would RMDR contact if we were not able to reach you?
Who is this person to you? Mother, Father, Sister, Brother, Friend, etc.
This format is required (###) ###-####
Digitally Sign This Agreement
I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Please enter your name here to sign this Hold Harmless & Media Release Agreement.
Are you signing this waiver on behalf of a minor?