Release of Liability to accompany Application for Media Officer Pass - 2022/23

Media/Commercial Passes are only issued if the applicant sends either a Copy of their current Public Liability Insurance Policy (showing coverage for at least $20,000,000) or completes this Release of Liability Form.

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* 1. Name of Media Photographer:

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* 2. Organisation:

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* 3. Postal Address:

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* 4. Email Address:

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* 5. Contact Number:

As a condition of being permitted to enter and photograph or video at Equestrian Queensland’s events, I HEREBY WAIVE any rights I might have or might hereafter acquire in relation to any and all claims for loss or damage arising from injury, death or property damage suffered or arising from my attendance, or that of any person employed by me or acting under my direction or control, at any events conducted or organized by or on behalf of Equestrian Queensland, whether arising from or caused or contributed to in any way by the negligence or acts or omissions of any person participating in the organisation, administration or conduct of that event, whether as an officer, employee or otherwise of Equestrian Queensland, or as an official, helper, volunteer or participant, or the supporter of a participant or any person participating as a spectator and further HEREBY RELEASE AND FOREVER DISHARGE AND AGREE TO HOLD HARMLESS and INDEMNIFY Equestrian Queensland and any person participating in the organisation, administration or conduct of that event, from any claim which I might hereafter have in relation to any such injury, death or property damage that might be suffered or arising as described above. I agree to assume all risks associated with photographing, videoing, recording, spectating, use of the facilities and any other activities associated with my assignment and/or presence at the events and that of any person employed by me acting under my direction or control If any portion of this agreement is deemed unenforceable, all other parts shall remain in full force and effect.

I intend to RELEASE to be interpreted as broadly as permissible by law.

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* 6. Please tick to acknowledge agreement

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* 7. Name of signatory :

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* 8. Date:

Please Note: All persons attending an Event as part of the media team, must complete the Release of Liability Form

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