Prince George's County Biobased Display and SoyFoam Demonstration Day

Time	Activity	Location
8:30 – 9:00 AM	Light breakfast & refreshments provided by PG County Office of Central Services – Fleet Division	PG County Fleet 8019 Central Avenue Capitol Heights, MD 20743
9:00 – 9:15 AM	Welcome remarks	Same as above
9:00 – 10:15 AM	Fleet walk-through & Q&A on collaboration with Dept. of Public Works	Same as above
10:15 – 10:30 AM	Travel to PG County Police Department Track	—
10:30 – 11:15 AM	Police pursuit test of Goodyear soy-biobased tires with metrics	County EVOC Course 13900 Dille Drive Upper Marlboro, MD
11:15 – 11:50 AM	Travel to University of Maryland – College Park	—
12:00 – 1:00 PM	SoyFoam™ demonstration for PG County Fire Department	4500 Campus Drive College Park, MD 20740
1:00 – 2:00 PM	Lunch provided by United Soybean Board & Maryland Soybean Board	Onsite at: 4500 Campus Drive College Park, MD

URL

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Hotel Information

Participants reserve and cover own costs

Homewood Suites by Hilton Largo Washington DC
9103 Basil Ct, Largo, MD 20774
(301) 322-2220

Personal Information

Email(Required)

Name(Required)

First Last

Job Title

Organization

Address(Required)

Street Address Address Line 2 City State ZIP Code

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Emergency Contact

In case of an emergency, contact the following person(s):

Name(Required)

First Last

Relationship to you(Required)

(parent, uncle, friend, etc.)

Address(Required)

Street Address Address Line 2 City State ZIP Code

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Dietary Needs

Would you be interested in attending the lunch from 1:00 to 2:00 p.m.?

Yes

Dietary Requirements

None

Pescatarian

Vegetarian

Gluten Free

Vegan

Dairy Free

Seafood Allergy

Nut Allergy

Specific Dietary Requests

Accessibility Needs

Special Accommodations

Auditory

Mobility

Visual

Special Accommodations Details

Acknowledgement of Risks, Acceptance of Responsibility, Release of Liability and Hold Harmless Agreement

Please read and initial each section.

Please Read and Initial Below(Required)

I fully understand and hereby assume any risks and responsibilities that may be associated with my participation in Maryland Soybean Board, Cross Plains Solutions, United Soybean Board, Vir-Mar Fire Foam LLC, and Prince George's County Government and Subsidiaries activities. I fully understand that my participation in this activity is inherently dangerous and could result in injury not limited to burns, inhalation of smoke or other chemicals, bodily injury, strain, sprain, or other type of serious injury. In recognition of the inherent risks involved, I confirm that I am physically and mentally capable of participating in this activity; and I participate willingly and voluntarily and assume full and complete responsibility for any personal injury or loss that may occur as a result of any accident or incident that may occur.

Please Read and Initial Below(Required)

I specifically understand that I, my personal representatives and my heirs are releasing, discharging and waiving any claims, actions or losses for bodily injury, property damage, loss of services or otherwise that I may have at the present time or in the future, for any negligent acts or other conduct by the Maryland Soybean Board, Cross Plains Solutions, United Soybean Board, Vir-Mar Fire Foam LLC, and Prince George's County Government and Subsidiaries activities.

Please Read and Initial Below(Required)

In signing this Waiver and Agreement, I acknowledge and represent that I have fully informed myself of the content of the foregoing Acknowledgement of Risks and Acceptance of Responsibility by reading it before I sign it; and I understand that I sign this document as my own free act and deed with no oral representations, statements, or inducements, apart from the foregoing written statement, having been made. I understand that Maryland Soybean Board, Cross Plains Solutions, United Soybean Board, Vir-Mar Fire Foam LLC, and Prince George's County Government and Subsidiaries activities do not require me to participate in this activity; but I want to do so, despite the possible dangers and risks and despite the Waiver and Agreement. I further state that I am at least eighteen (18) years of age and fully competent to sign this Waiver and Agreement; and that I execute this Waiver and Agreement for full, adequate, and complete consideration fully intending to be bound by the same. I further state that there are no health-related reasons or problems which preclude or restrict my participation in this activity, and that I have adequate health insurance necessary to provide for and pay any medical costs that may be incurred as a result of injury to me.

Media/Photo Release

Please Read and Sign Below

I allow United Soybean Board and others working for or with United Soybean Board the unlimited right and permission to use my name, picture, likeness, voice, and biographical information, together with any other material the United Soybean Board so chooses, in any manner, venue or media, anywhere in the world, at any time for the purposes of advertising, promoting and publicizing the United Soybean Board. I agree that I have no right of approval over any materials, no claim to compensation, and no claim arising out of any use of my name, picture, likeness, voice, and biographical information. I will not disclose any confidential information, including the content of any advertising material that is not yet public, to any person or entity without United Soybean Board’s prior written approval. I agree that this agreement will be governed by the laws of the State of Maryland without regard to its choice of law provisions.

Prince George’s County Biobased Display and SoyFoam Demonstration Day

Where:

When:

Detailed Agenda:

Hotel Information

Personal Information

Emergency Contact

Dietary Needs

Accessibility Needs

Acknowledgement of Risks, Acceptance of Responsibility, Release of Liability and Hold Harmless Agreement

Media/Photo Release