Step 1 of 2 Step Process

Step 1 - REQUIRED - Registration & Signing a Waiver BEFORE the event

Please read the full waiver below and click to register and verify that you agree to the terms of the waiver

DRIVEN TO CARE

RELEASE AND INDEMNIFICATION AGREEMENT

This Release and Indemnification Agreement is between the John and Lisa Weinberger Joint Revocable Trust (the
“Host”) and the participants identified below (each being a, “Participant”), or if Participant is under 18, then
Participant’s parent or guardian. In consideration of Participant participating in the use of our property, and other
activities at the Host’s property (“Activities”), I agree as follows:
1. I acknowledge that the Activities involve known and unanticipated risks which could result in physical
or emotional injury, paralysis or permanent disability, death, and property damage. Risks include, but
are not limited to, broken bones, torn ligaments, bruises, and other bodily injuries as serious as death,
disability or blindness, caused by contact with other participants, or structures like walls or fences, or
caused by uneven ground; medical conditions resulting from physical activity; and damaged clothing or
other property. I understand such risks cannot be eliminated, without jeopardizing the essential qualities
of the activity.
2. I expressly accept and assume all of the risks inherent in the Activities or that might have been caused
by the Host and its owners, directors, officers, employees, agents, volunteers, other participants, and all
other persons or entities acting for them (collectively, the “Releasees”). Participant’s participation in the
Activities is purely at my discretion, and I elect for Participant to participate despite the risks. In
addition, if at any time I believe that event conditions are unsafe or that Participant is unable to
participate due to Participant’s physical or medical conditions, then Participant will immediately
discontinue participation in the Activities.
3. I, on behalf of myself, Participant, and my children, parents, heirs, assigns, personal representative and
estate, hereby voluntarily release, forever discharge, and agree to indemnify, defend, and hold harmless
Releasees from any and all claims, demands, causes of actions, damages, costs, losses, penalties,
attorneys’ fees, obligations, judgments, expenses, compensation, and liabilities (together, “Damages”)
that are in any way connected with Participant’s participation in the Activities, or Participant’s use of
Releasees’ equipment or property, including those arising from negligence or gross negligence. If
Releasees or anyone acting on their behalf is required to incur attorney’s fees and costs to enforce this
agreement, I agree to indemnify and hold Releasees harmless for all such fees and costs.
4. I represent that I have adequate insurance to cover any injury or damage Participant may suffer or cause
while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I
further represent that Participant has no medical or physical condition that could interfere with
Participant’s safety in this activity, or else I am willing to assume – and bear the costs of – all risks that
may be created, directly or indirectly, by any such condition.
5. On occasion, the Host may take photographs or video of Participants for promotional purposes. I hereby
give the Host permission to record, videotape, and photograph Participant’s image and voice to be used
in the Host’s brochures, advertising, Drive to Care’s website, social-media, email newsletters, and
marketing, publicity, presentations, or promotional materials. I agree: (i) that I am not entitled to any
compensation for use of Participant’s image or voice, (ii) that the Host is not required to inform me in
advance of the specific use of Participant’s image or voice, (iii) that I waive any right of privacy
associated with the use of Participant’s image or voice, and (iv) release the Releasees from all Damages
that may have related to the use of Participant’s image or voice.

6. In case of emergency involving Participant, I understand that the Host may need to contact a third-party
medical provider, including local emergency resources. In the event that an Authorized Person specified
on Exhibit A cannot be reached, I hereby give permission to the medical provider selected by the Host to
secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for
my child. To the extent the Host’s staff present at the time of an emergency is properly trained to do so,
I hereby give permission to such staff to administer first aid and cardiopulmonary resuscitation, that, in
the reasonable discretion of such staff is necessary in advance of a third-party medical provider arriving.
I hereby authorize the Host to provide any information in the Host’s possession to any physician or
medical provider involved in providing medical care to the participant, even if such information is
“Protected Health Information/Confidential Health Information” (PHI/CHI) under the Standards for
Privacy of Individually Identifiable Health Information, 45 C.F.R. §§ 160.103, 160.501, et seq. I hereby
release Releasees from any claim for damages resulting from any emergency action or inaction taken by
the Host.
7. A Participant can be dismissed from the property for the following reasons:
(a) Possession, usage, or display of knives, firearms, fireworks, illegal drugs, matches, and/or tobacco.
(b) Possession or usage of alcoholic beverages outside of those provided by the Host.
(c) Over consumption of alcoholic beverages that may be provided by the Host.
(d) Physical violence or threats of physical violence to other participants and/or the Host.
(e) Physical and/or emotional bullying in any form, including cyber bullying.
(f) Use of inappropriate language (e.g., racial slurs, profanity).
(g) Damage to the Host’s property.
(h) Stealing property of other participants or the Host’s property.
(i) Sexual harassment of any kind geared towards other participants or the Host’s staff or volunteers.
(j) Disrespectful and/or rude behavior to other participants or the Host’s staff or volunteers.
(k) Continued failure to follow instruction by the Host’s staff or volunteers.
(l) Violation of the dress code which explicitly prohibits the wearing of heels or other raised shoes.
8. This Agreement shall be governed by the laws of the State of Texas, without reference to choice-of-law
or conflict-of-law principles. Venue for any proceeding, judicial or otherwise, instituted by either party
to this Agreement, shall be in applicable state or federal courts located in or governing Tyler County,
Texas.
9. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions
shall remain in full force and effect.
I have had sufficient time to read this entire document and, if I choose to do so, consult with legal counsel prior to
signing. Also, I understand that the Activities might not be made available to me or that the cost to engage in the
Activities would be significantly greater if I were to choose not to sign this release, and agree that the opportunity
to participate at the stated cost in return for the execution of this release is a reasonable bargain. I have read and
understood this document and I agree to be bound by its terms

By Clicking the Registration Option below and Typing your First and Last Name, you are verifying that you have read and agree to the terms of the Waiver for This Driven to Care dinner event on October 24, 2026 at the Driven to Care Memorial


Please note that the dinner is sponsored for no charge, but attendance requires a $75/person donation to the Driven to Care Program    

(see below and on your email confirmation)

Dinner is Italian Fare with Gluten Free and Vegetarian Options and includes wine, sodas and water.

  • I plan to attend and have read and agree to the terms of the waiver


Select Add an additional Guest after you register to add others to your registration

Step 2 - REQUIRED - AFTER submitting this registration, you are not fully registered until you visit:

https://www.driventocare.org/ 

to donate $75/person    


  Hit the SUBMIT button below to complete Step 1


Almost done. Where should we send the confirmation?

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