Diabetes Canada Media Release Form

By registering for this event I/we hereby authorize and agree that the Canadian Diabetes Association operating as Diabetes Canada, its successors, assigns and/or representatives have the right to publish my/our story, comments and/or photographs, films and/or videos (collectively the “Material”) for use in Diabetes Canada’s campaigns, promotions, advertisements and in any other way that furthers Diabetes Canada’s objectives. I/We understand that the Material may be published in any and every form of media in both domestic and foreign markets and may be included in whole or in part, in colour or in black and white.

I/We hereby release and discharge Diabetes Canada and all persons acting under Diabetes Canada’s permission or authority or those for whom Diabetes Canada is acting from and against any liability resulting from the foregoing use of the Material or from any distortion, blurring, alteration, and/or use in composite form, whether the same is intentional or otherwise, that may occur in the taking of, processing, reproduction, or presentation of the Material. 
I/We hereby waive my/our right to inspect and/or approve the finished story, comments and/or photographs, films or videos in whatever media the Material may be used or the eventual use to which the Material may be applied.

As part of the release, I/we hereby assign to Diabetes Canada any copyright without compensation that I/we may have in the Material, and also specifically waive any moral rights that I may have with respect to the Material.

It is acknowledged and understood that my/our identity may be used by Diabetes Canada when publishing/releasing information as noted in this document. I/We hereby release and hold harmless Diabetes Canada from any reasonable expectation of privacy or confidentiality associated with the Material specified above. 

 

Growing with Diabetes in Saskatchewan Liability Waiver:

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity. In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: The Canadian Diabetes Association and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers.

© 2021 Canadian Diabetes Association. The Canadian Diabetes Association is the registered owner of the name Diabetes Canada. Charitable Registration Number: 11883 0744 RR0001