Liability Waiver: Minors at Stewardship or Staff Led Recurring Volunteer Events

Minneapolis Park & Recreation Board Stewardship & Community Teams: Volunteer Waiver for Minors

Parent or legal guardian must complete this form for minors under their care.
Date submitted*

MonthDayYear
Parent or Legal Guardian Contact Information
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Please list the full legal name (first and last) and birthdate for all minor volunteers under your guardianship below: *
Total number of minor volunteers listed above:*
Location of volunteer activities: *
Example: Lake Harriet, west side between Beard's and 44th
WAIVER OF LIABILITY, RELEASE, ASSUMPTION OF RISK AGREEMENT AND PHOTO RELEASE:

I do hereby AGREE TO INDEMNIFY, PROTECT, DEFEND, RELEASE AND FOREVER DISCHARGE the Minneapolis Park and Recreation Board and the City of Minneapolis, Minnesota and their respective agents, officers and employees, from any claims, demands, losses, damages, liabilities, fines, charges, penalties, administrative and judicial proceedings and orders, judgments and all costs and expenses of any kind whatsoever incurred therewith, including reasonable attorney’s fees and costs of defense, which may be directly or proximately caused by any negligence of the above named parties. I understand that personal injury, illness, death or other loss to myself or others may occur directly or proximately from my participating in any and all volunteer activities that I engage in with the Minneapolis Park and Recreation Board, and I voluntarily assume this risk.

I agree to abide by all the rules and regulations pertaining to my volunteer activity as may be designated by the Minneapolis Park and Recreation Board, its agents or employees. In consideration for being allowed to participate in Minneapolis Park and Recreation Board volunteer activities, I agree and bind my executors, administrators and assigns to forever release, discharge, indemnify and hold harmless the Minneapolis Park and Recreation Board from all claims or courses of action which may hereafter exist by reason of any loss, damage to property and/or personal injury and/or death which may be caused and/or sustained by the undersigned while participating in volunteer activities.

I acknowledge that there is no medical reason why I cannot or should not participate in this volunteer activity. I further acknowledge that I have read the foregoing, understand its terms and meaning and have made diligent inquiry concerning any questions about this document that I may have.

I acknowledge that by agreeing to this document I allow the Minneapolis Park and Recreation Board to use photos and/or videos of myself or my minor child for MPRB public relations purposes.

I acknowledge that by agreeing to this document I am allowing all minor children under my care to participate in volunteer activities for the Minneapolis Park and Recreation Board and is subject to the terms as outlined in the above WAIVER OF LIABILITY, RELEASE, ASSUMPTION OF RISK AGREEMENT AND PHOTO RELEASE.

I acknowlede that by agreeing to this document I am the parent of legal guardian of the minor(s) volunteer listed above.
I have read this Release and Waiver of Liability and Assumption of Risk Agreement, fully understand its terms, and agree to it freely and voluntarily. Submittal of this document serves as a complete and unconditional release of all liability to the greatest extent permitted by law.*

I agree
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Minneapolis Park & Recreation Board Stewardship & Community Teams: Volunteer Waiver for Minors

Parent or Legal Guardian Contact Information