Vitiligo Support International Inc. (VSI) is a patient driven 501(c)(3) nonprofit organization offering a comprehensive resource of vitiligo education, research and awareness for those whose lives have been affected by vitiligo.

We are here to address your questions and concerns and help you connect with our community. You will find the hope, support and healing that can only be offered by those who understand best - those who have walked in your shoes.

VSI Charity Walk for Vitiligo

VITILIGO SUPPORT INTERNATIONAL, INC. (VSI)

"VSI CHARITY WALK"

WAIVER AND RELEASE OF LIABILITY

  1. In recognition of the risk of injury while participating in the "VSI Charity Walk", and as consideration for the right to participate in the walk, I hereby for myself, my heirs, executors, administrators, assigns, or personal representatives knowingly and voluntarily enter into this waiver and release of liability (Agreement) and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the walk, and do hereby release and forever discharge VSI and its affiliates, managers, officers and directors, members, agents, attorneys, employees, volunteers, heirs, representatives, predecessors, successors and assigns, business and its affiliates, managers, members, agents, attorneys, employees, volunteers, heirs, representatives, predecessors, successors and assigns, and its agents, attorneys, employees, volunteers, heirs, representatives, predecessors, successors and assigns and all sponsors and/or beneficiaries of the walk from any and all liability, claims, demands, damages, actions, or causes of action now existing or which hereinafter may arise as a result of my participation in the walk, whether any injury is caused by the negligence of VSI, the negligence of myself or third parties, the conditions of the course or any other cause.
  2. I agree to indemnify and hold harmless VSI against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorneys fees, if litigation arises on account of claims made by me or anyone on my behalf.
  3. I attest that I am physically fit and have trained sufficiently for this walk. I will not knowingly push beyond my physical limits at any time during the walk.
  4. I recognize that various photographs, video recordings, and other media may be taken during the walk. I agree to grant VSI full permission to use any photographs, video recordings, or other media of the walk that contain my likeness for the purpose of promoting Vitiligo Support International Inc. (VSI) or the walk, or for any purpose deemed appropriate by the organization.
  5. I acknowledge that this Agreement is the entire agreement between VSI and me, and that this Agreement cannot be modified or changed in any way by representations or statements of the Host or by me.
  6. I hereby declare that I have read and fully understand this Agreement in its entirety and that, by submitting this online form, I assent to all of the terms and conditions contained in this Agreement.
  7. I hereby declare that I am either 18 years of age as of today's date, or that my parent/legal guardian does attest to our mutual understanding and agreement to the listed terms of this Agreement.

You must submit a separate agreement for EACH Walker.

If participant is under the age of 18 and will be accompanied by a person over the age of 18, the second person, as a walker, must submit an additional Agreement.

Name of Participating Walker:

Name of Parent or Legal Guardian (if applicable)
(if the above named person will also be walking they must also submit a separate Agreement)

Walking Participant:
Please select one

Is at least 18 years of age as of today's date

I am the parent or legal guardian of this walking participant under the age of 18, and I attest on their behalf to our mutual understanding and agreement with the Terms of this Agreement.


Mailing Address of Walker Participant

Street Address:

City: State: Zip:

Phone: Email Address:


Mailing Address of Parent or Legal Guardian (if applicable) of walker

Street Address:

City: State: Zip:

Phone: Email Address:

Projected date/s of walk

 
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