Open Streets: Summer Streets 2026
WAIVER AND RELEASE FROM LIABILITY LIKENESS RELEASE AND CONSENT PARTICIPANT'S GENERAL RELEASE
By signing my name and initialing below, and in consideration of my participation in one or more of the following activities, at locations in Manhattan, NY on Adam Clayton Powell between 110th and 114th st (“Summer Street Locations”), on August 1st, 8th, and 15th , 2026: Name of
Activity Location or Initial Location of Activity
1: Open Streets: Summer Streets activities
Nature of Activity including, but not limited to, the following: Walking, running, jumping, dancing, stretching, performing a variety of fitness exercises, and participating in sport activities, etc. Peddling, pushing, mounting, straddling, riding etc. on bicycles, including stationary bicycles.
2 Sports and fitness activities, such as: Soccer, Football, Volleyball, Baseball, Fitness Classes
Nature of Activity including, but not limited to, the following: Running, jumping, jogging, stretching, and performing a variety of running exercises etc. Passing, throwing, hitting soccer, footballs, and volleyballs balls and performing a variety of activities associated with the sport or fitness class etc.
Summer Street Locations
3
Bike Riding activities
Nature of Activity including, but not limited to, the following: Peddling, pushing, mounting, straddling, riding, maneuvering bicycles and performing a variety of bicycle activities etc.
(All above listed activities, as well as additional ancillary activities, shall together constitute the "Activities")
I attest that I am physically capable of participating in the Activities at the New York City’s Department of Transportation’s Summer Streets event (the “Event”), to be held at the location(s) and on the dates listed above. I acknowledge that the Activities may involve a rigorous physical test that carries the potential risk for serious injury. I understand that I can discontinue my participation in the Activities based on my own judgment. I also understand the nature of the Activities that I will be involved in and I will strictly adhere to any directions given, as well as any age and/or height, rules, restrictions and/or code of conduct for such Activities, including with regard to the use of any required equipment. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN ANY OF THE ACTIVITITIES. I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns: (a) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, claims, suits, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or any of my property, arising from or in connection with my participation in the Activities THE FOLLOWING PERSONS OR ENTITIES:
1 - The City of New York (the “City”)
2 - CDB Productions, LLC
3- Akrivis Race Management, LLC
and any related or affiliated City agencies or companies, partners and each of their respective owners, partners, and affiliates, and all members, partners, shareholders, officers, officials, directors, agents, employees, licensees, consultants, independent contractors, successors and assignees of any of the above; (b), I AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein. Being fully aware of the risks inherent in participating in the Activities, I hereby elect voluntarily to engage in such activity, follow any directions given by staff and the persons or entities mentioned above and assume all risk of loss or injury that I may sustain in connection with the Activities.
I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat me herein for the purpose of attempting to treat or relieve any injuries arising out of or relating to the Activities. I authorize any such medical provider to perform all procedures deemed medically advisable in attempting to treat or relieve such injuries. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk. In signing this General Release, I hereby acknowledge that I have read the foregoing release and fully understand that this is a release of liability that will legally prevent me or any other person from filing suit or making any other legal claims. I nevertheless enter into this agreement freely and voluntarily and agree that it is binding upon me, my heirs, assigns and legal representatives.
LIKENESS RELEASE
I understand that the City may wish to use my name, voice, image (still or otherwise) (the “Likeness”) for any and all legal purposes, including but not limited to those referenced in New York State Civil Rights Section 50, (the “Licensed Use”) by the City or anyone acting on its behalf. I hereby release and consent to the following terms: a) For the good and valuable consideration of the opportunity for me to participate in one or more of the Activities, the receipt of which is hereby acknowledged, I grant the City, perpetually and irrevocably, the right throughout the world to use the Likeness in connection with the Licensed Use. It is understood and agreed that such rights include the right to use and to promote the Likeness in any format now known or hereafter devised. I hereby waive any right of inspection or approval of the Likeness for the Licensed Use. I understand and agree that I will not be compensated in any way for the use of Likeness by the City. b) I agree to release and discharge the City and its employees, agents, licensees and successors from any and all claims, demands or causes of action that I may now have or hereafter have for libel, defamation, invasion of privacy, right of publicity, infringement of copyright, trademark or violation of any other right arising out of or relating to any use of the rights granted in this Release and Consent or based on any failure or omission to make use of rights granted in this Release and Consent. c) I understand and agree that someone other than myself shall retain the ownership of the copyright of the photograph or other recording which contains the Likeness. I understand that the photograph or other recording which contains the Likeness may be used by the City in such manner and for such purposes as the City deem advisable, in whole, in part or in modified form, in all formats now known or hereafter to become known without further permission from me.
If more than one person signs this consent, each such person hereby agrees to the preceding provisions. If the person who is being photographed, filmed, videotaped or recorded is under age 18, his/her parent or guardian must sign below instead.
If any provision of this waiver is deemed void by law or unenforceable, the remaining provisions shall continue in full force and effect.
I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OR OLDER, AM PHYSICALLY FIT TO PARTICIPATE IN THE ACTIVITIES AND I HAVE READ THIS DOCUMENT, AND I UNDERSTAND ITS CONTENTS.
I AM UNDER THE AGE OF EIGHTEEN (18) YEARS. MY PARENT/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW.
(If applicant is under 18 years of age, a parent or guardian must execute, in addition to the foregoing Waiver and Release, the following, for and on behalf of the Minor).
The undersigned, __________________________________________ (Parent/Guardian Name) the parent and natural or legal
guardian of _______________________________________________________ (Minor’s Name) hereby executes the forgoing Waiver and Release for and on behalf of the Minor herein. I hereby bind myself, the minor and all other assigns to the terms of the Waiver and Release. I represent that I have legal capacity and authority to act for and on behalf of the Minor named herein, and I agree to indemnify and hold harmless the persons or entities mentioned above for any claims or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the Waiver and Release. I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat the minor named herein for the purpose of attempting to treat or relieve any injuries received by said minor arising out of or relating to the Activities. I authorize any such medical provider to perform all procedures deemed medically advisable in attempting to treat or relieve such injuries. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself and said minor.
I hereby release and consent to the use of the Likeness of the Minor for the Licensed Use in accordance with the foregoing Waiver and Release
