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Clark’s Island Pre-Registration Form

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Duxbury Rural & Historical Society’s annual Clark’s Island Picnic: Sunday, July 25, from 12-3 pm at the DRHS Cedarfield Property, located on Clark’s Island.

Please carefully review all the information on our events page, as well as that listed below. This event is free but pre-registration is required. Your pre-registration indicates your acceptance of the liability waivers detailed below, on behalf of you and your party. 

Please note that this registration is for the event itself; a separate registration is required for reservation of launch seats. You must contact our office by phone after July 1.

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Our annual picnic is fun, but life on an island has its risks! Please review the waivers below. Your pre-registration indicates your acceptance of these terms, on behalf of you and your party.

Liability Waiver Adult: WAIVER, RELEASE OF LIABILIITY AND INDEMNITY AGREEMENT

For good and valuable consideration, the amount and sufficiency of which is hereby acknowledged, I hereby agree and acknowledge that I shall enter the property and premises of the Duxbury Rural & Historical Society, Inc. located on Clark’s Island, Plymouth, Massachusetts and its related boat transportation and related boat docking facilities and structures and departure points located in Duxbury, Massachusetts (the “Premises”) for the purposes of a tour and picnic entirely at their own risk and I hereby agree to release, indemnify and hold harmless the Duxbury Rural & Historical Society, Inc. and each of its respective parents, subsidiaries, and affiliated companies, officers, directors, partners, shareholders, members, agents, servants, contractors, employees and volunteers (individually and collectively, the “Releasees”) of and from all demands, actions, causes of action, suits, injuries, personal injuries, property damage, and any and all claims, damages, and liabilities whatsoever of any name and nature, both in law and in equity, known or unknown, which I now have or may have against the Releasees arising out of, relating to, or based upon the my entry upon the Premises. I further agree that if, despite this agreement, I, or anyone on my behalf, makes a claim for liability against any of the Releasees, I will indemnify, defend and hold harmless each of the Releasees.  By executing this Release by electronically agreeing to its terms,  I expressly acknowledge and agree to the terms and conditions set forth herein and are waiving releasing any and all claims against the Releasees which I might have arising out of my entry onto the Premises.

Liability Waiver Minor: WAIVER, RELEASE OF LIABILIITY AND INDEMNITY AGREEMENT (FOR MINOR CHILD)

For good and valuable consideration, the amount and sufficiency of which is hereby acknowledged, on behalf of my child, a minor, I hereby agree and acknowledge that my minor child shall enter the property and premises of the Duxbury Rural & Historical Society, Inc. located on Clark’s Island, Plymouth, Massachusetts and its related boat transportation and related boat docking facilities and structures and departure points located in Duxbury, Massachusetts (the “Premises”) for the purposes of a tour and picnic entirely at their own risk and on behalf of my child, a minor, I hereby agree to release, indemnify and hold harmless the Duxbury Rural & Historical Society, Inc. and each of its respective parents, subsidiaries, and affiliated companies, officers, directors, partners, shareholders, members, agents, servants, contractors, employees and volunteers (individually and collectively, the “Releasees”) of and from all demands, actions, causes of action, suits, injuries, personal injuries, property damage, and any and all claims, damages, and liabilities whatsoever of any name and nature, both in law and in equity, known or unknown, which my child may now have or may have against the Releasees arising out of, relating to, or based upon the my entry upon the Premises. On behalf of my child, a minor, I further agree that if, despite this agreement, I, or anyone on my or my child’s behalf, makes a claim for liability against any of the Releasees, I will indemnify, defend and hold harmless each of the Releasees.  By executing this Release by electronically agreeing to its terms,  on behalf of my child, a minor, I expressly acknowledge and agree to the terms and conditions set forth herein and are waiving releasing any and all claims against the Releasees which I or my child might have arising out of my entry onto the Premises.

 

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