- nehu - na - moku Voyaging Academy A benefit for the Ka ¯ ina Family Learning Centers & Keiki O Ka ‘A EXECUTIVE CARVEDOWN WEDNESDAY, OCT. 22, 2014 AT TAMARIND PARK BISHOP SQUARE (DOUGLAS EMMETT) EXECUTIVE PUMPKIN CARVEDOWN Wednesday, October 22, 2014 EVENT: 4:30 PM - 8:30 PM COMPETITION: 5:00 PM - 7:00 PM CATEGORY: Culture of the 50's (Fashion, Music, Film, Sports, Toys, Cars) YES, COUNT ME IN FOR THE EXECUTIVE PUMPKIN CARVEDOWN! Enclosed is my entry fee donation of $1,200.00 ($550.00 tax-deductible) I WILL NOT BE ABLE TO PARTICIPATE, but will send a representative from my executive staff. see below for name and contact information. I will be carving for my charity: I will bring my own carving partner to assist me. Please provide me with a carving partner to assist me. NAME (FIRST/LAST): TITLE: COMPANY NAME: ADDRESS/CITY/ZIP: EMAIL: BUSINESS PHONE: CELL: AUTHORIZED SIGNATURE For more information, please call 808-497-7264 or visit us at pumpkincarvingfestival.org. Please mail this form and your check to 777-1102 Paani Street, Honolulu, HI 96826. Make check payable to Pumpkin Carving Festival. RELEASE AND WAIVER OF LIABILITY I acknowledge and understand all of the risks involved with my participation in the Event and assume full responsibility for all risks, including, but not limited to, risk of death, bodily injury, disability or property damage, arising out of, related to or connected with my participation in the Event. I release, hold harmless, indemnify and agree not to sue Kawehiokalani Inc. dba Pumpkin Carving Festival, ¯ ina Family Learning Centers, and the KVA, Douglas Emmett and its officers, directors, members, employees, agents, volunKeiki O Ka ‘A teers, contractors, and all other persons acting by, through or in concert with any of them, and all other entities or persons involved in promoting, setting up, running, and/or administering the Event (collectively, the “Released Parties”) from and against any and all claims, demands, actions, liability, losses, judgments, awards, costs, expenses and attorneys’ fees (collectively, the “Claims”), of any kind or nature whatsoever, by whomsoever raised or asserted, including, but not limited to, Claims for death, bodily injury, disability or property damage, however caused, arising out of, related to, or connected with my participation in the Event or an account of any first aid or medical treatment or service rendered in connection with my participation in the Event. I relinquish and grant to Kawehiokalani Inc. dba Pumpkin Carving ¯ ina Family Learning Centers, and the KVA all right, title and interest that I may have in any photos, images, pictures Festival, Keiki O Ka ‘A and audio and video recordings taken of me in connection with the Event. THANK YOU TO OUR SPONSORS: