I, the undersigned, hereby certify that I am the parent or legal guardian of the participant and grant permission for my son/daughter to participate in the Client-Connected Projects program. I affirm that, to the best of my knowledge, the information provided is true and complete. I also feel that my son/daughter is physically capable of participating in the activities.
In consideration of your accepting this agreement, I RELEASE – for myself and my heirs, executors, administrators, legal representatives, assigns, and successors in interest, and for my child [if parent or guardian signing on behalf of a participant under the age of 18, referred to as ‘my child’] – the Client-Connected Projects programs and all other staff members, interns, organizers, and volunteers of this program, and the officers, directors, shareholders and/or members, agents and employees of each, as well as all medical, law enforcement and other personnel assisting with this program, the owners of property through which the program is held, and their representatives, successors and assigns [collectively ‘Released Parties’] from any and all rights, claims, or liability for damage for any and all injuries to my child, or my or their property arising out of or in connection with my participation in this program, including but not limited to CLAIMS ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES and claims for damage caused by me, my child, or anyone else [including acts of God]. I PROMISE NOT TO SUE THE RELEASED PARTIES on behalf of me or my child regarding any claim arising from my and/or my child’s participation in the the Client-Connected Projects program. I further agree that I WILL DEFEND, INDEMNIFY, AND HOLD HARMLESS, the Released Parties against all claims, demands and causes of action, including court costs and reasonable attorneys’ fees, directly or indirectly arising from any action or other proceeding brought by or prosecuted contrary to this Agreement for the benefit of me or my child. This Agreement extends to all claims of every kind and nature whatsoever, whether known or unknown. I understand that the the Client-Connected Projects program activities are varied and I FULLY ASSUME THE RISKS ASSOCIATED WITH MY CHILD’S PARTICIPATION IN THIS PROGRAM, including but not limited to: the dangers of falls and collisions with other participants, staff members, pedestrians, vehicles and fixed or moving objects; attending field trips, among others; and dangers caused by the NEGLIGENCE OF THE RELEASED PARTIES. I certify my child is physically and mentally fit to participate in this program. I understand that if my child is unable to participate in the Client-Connected Projects due to sickness, unforeseen family circumstances, scheduling conflicts, or any other reason, it may impact the eligibility of intern stipends to be paid out.
I hereby authorize the staff of the Client-Connected Projects to act for me according to their best judgment in any emergency requiring medical attention and I hereby waive and release the Client-Connected Projects from any and all liability for any injuries, illnesses or lost property incurred while at the program. I have no knowledge of any physical impairment. I hereby authorize the designated physician to perform such diagnostic, medical and/or surgical treatment on my child as may be deemed medically necessary in order to assure the safety of my child. I will be financially responsible for any medical attention needed as a result of any injuries deemed by the staff of the Client-Connected Projects. My agreement to sign (either physically or electronically) on this waiver also states that the above named student is covered by my personal medical insurance policy. I am giving my permission to use photographs of my child in programs in promotional materials for the Client-Connected Projects.
I hereby grant the the Client-Connected Projects a perpetual, royalty-free license to reproduce, publish, circulate, or otherwise use any and all photographs and/or videotapes of me and/or my family taken at the the Client-Connected Projects program, for any advertising, promotional, press, training and educational purposes.
Your signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:
I have read, have understood, and do accept the agreement above.
I understand that this is a legal document with effects that I approve and authorize.
The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
I am authorized to agree to the terms of this document on behalf of the registrant.
If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.