IMPORTANT - PLEASE READ THE BELOW
Potter Park Zoo
Ingham County
Emergency Waiver and Release Form - Volunteer Program
IN CONSIDERATION of being permitted to participate in a volunteer program at Potter Park Zoo, I (the undersigned participant or parent/guardian), INTENDING TO BE LEGALLY BOUND, do hereby, for myself or the below named participant, my heirs, executors, administrators and representatives, ASSUME ALL RISK INHERENT IN PARTICIPATION, and further agree to, and do hereby release, waive, discharge, covenant not to sue and indemnify the Potter Park Zoological Society or Ingham County, its officers, employers, sponsors, volunteers, representatives and agents, of and from any claim in law or equity for injury or damages of any type whatsoever which I or her/he or they may make or incur arising out of my (or the below named participant's) participation in the aforementioned activity, including payment of legal fees or costs incurred by the County in defending any such claim.
In addition, I authorize and grant permission to the Ingham County, Potter Park Zoo and Society staff to secure emergency medical and/or hospital treatment for myself or the below named participant in the volunteer program.
I also authorize and grant permission to the County to photograph or videotape myself or the below named participant and waive any claims by or on behalf of myself or the below named participant for remuneration for any form or use of such photographs/video tapes when used for educational program, public relations programs, and newspaper use.
I AM FULLY AWARE OF ALL THE INHERENT RISKS ASSOCIATED WITH MY PARTICIPATION AND DO HEREBY ASSUME AND ACCEPT ALL SUCH RISKS. I AM NOT AWARE OF ANY CONDITION, PHYSICAL OR OTHERWISE, WHICH COULD BE AGGRAVATED, WORSENED OR OTHERWISE ADVERSELY AFFECTED BY PARTICIPATION (or myself or the below named participant) IN THE VOLUNTEER PROGRAM AT POTTER PARK ZOO.
I am signing the Emergency Waiver and Release form of my own free will and volition and I acknowledge that I have read this Emergency Waiver and Release Form and fully understand it and that I am of legal age to execute this Agreement.