Assert that I am not intoxicated, or under the influence of
any medications or mind altering substances that could impair
my judgement. Agrees to inform HCA immediately if participant sees
conduct or a facility condition that endangers participants. Understands that HCA can terminate participation in cases of
rules violation or the endangerment of participant or others.
I, the PARTICIPANT/PARENT, agree that HCA can use my photo
or video images, or those I am supervising, for commercial and
promotional purposes. The participant grants license for use
without expectation of compensation, or limits to usage. (e.g.,
advertising, website, social media
Emergency Contact/Adult Participation
I, the Adult PARTICIPANT, have read this Agreement and
understand that I am giving up substantial rights, including my right to sue for damages in the event of death, injury, or loss. I
acknowledge that I am voluntarily signing this agreement and intend my signature to be a complete release of all liability, including that due to the INHERENT RISKS of HCA Activities or
the ORDINARY NEGLIGENCE of the Protected Parties, to the
greatest extent allowed by laws of the State of Connecticut.