The participating minor agrees to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Indians for Collective Action, or the employees, representatives, or agents of Indians for Collective Action.

I recognize that there are certain inherent risks associated with the above described activities and traveling anywhere in the world, including India.The potential risks iude, but are not limited to political, legal, economic conditions, social, transportation, infrastructure safety, local medical and weather conditions, and terrorism. I assume full responsibility for personal injury to the minor, and further release and discharge Indians for Collective Action for injury, loss, or damage arising out of the minor’s participation in the Indians for Collective Action Youth "LEAD"  Program, whether caused by the fault of the minor, Indians for Collective Action, or other third parties.

I agree to indemnify and defend Indians for Collective Action against all claims, causes of action, damages, judgements, costs or expenses, which may in any way arise from the minor’s participation in the Indians for Collective Action Youth "LEAD" Program. On behalf of my minor, I hereby release and promise not to take any legal action against ICA and its officers, employees, agents, or representatives of any kind for any damages, loss, or injury caused by, arising from, or associated with my minor's participation in the program, even if that occurs as the result of any released parties' negligence. 

 

I agree to pay for all damages to the facilities of the NGO the student is at, caused by any negligent, reckless, or willful actions by the participating minor.

I authorize Indians for Collective Action or the employees, representatives, or agents of Indians for Collective Action to travel to the chosen NGO with the minor during the period of the program. I release and agree to hold blameless Indians for Collective Action, and its agents, representatives, and leaders for injury, loss, or damage associated with any and all potential travel.

In the event of an injury to the listed minor during the above described activities, I give my permission to Indians for Collective Action or to the employees, representatives, or agents of Indians for Collective Action and chosen NGO for the year to arrange for all necessary medical treatment for which I shall be financially responsible. The temporary authority will begin on __/__/2023 and will remain in effect until terminated in writing by the undersigned or __/__/2023, whichever occurs first. I also agree to the release of any records necessary for treatment, referral, billing, or insurance purposes.

Indians for Collective Action and chosen NGO for the year shall have the following powers:

a.     The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.     The power to authorize medical treatment or medical procedures in an emergency situation; and

c.     The power to make appropriate decisions regarding clothing, bodily nourishment and shelter.

Any legal or equitable claim that may arise from participation in the above shall be resolved under California law.

 

I grant Indians for Collective Action permission to use my and (if applicable) my family's likeness in a photograph in any and all of its publications, including but not limited to all of Indians for Collective Action's printed and digital publications. I hereby irrevocably authorize Indians for Collective Action to edit. alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Indians for Collective Action's programs or for any other related, lawful purpose. 

I consent to the participation of myself and (if applicable) my family in the Indians for Collective Action Youth "LEAD" Program and agree on behalf of any minors listed to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of the minor.

I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Indians for Collective Action has offered to refund any fees I have paid to participate in the program if I choose not to sign this agreement.

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.