I authorize the staff and volunteers of the RISE Academy to provide basic first aid or to call additional medical care on my child's behalf in the event of an emergency if I cannot be reached or when delay would be dangerous to my child's health. I further agree to release the CBI & City of Middletown staff and volunteers from any liability connected with my child's participation in the 2021 summer
Iauthorize the CBI & City of Middletown staff members to take photographs and / or videos of my
child while participating in the Fire & Leadership Camp programs. I understand that CBI & the City of Middletown may use these photographs and videos for internal and external purposes including (but not limited to) press releases, websites, social media and publications.
Text Alerts: I understand that by signing this form I will receive text alerts pertaining to CBI Middletown Programs. If I would like to opt out of these alerts I will check the box at the bottom of the page.
I hereby waive, release, absolve, indemnify, and agree to hold harmless CBI Middletown, Inc. its directors, officers, organizers, sponsors, supervisory staff, participants and any other affiliates, and the City of Middletown for, from, and against all liability because of any bodily injury, or property damage, known or unknown, which may occur or result from the participation of my child(ren) in any and all activities whether the result of negligence or for any other cause. I individually and as a parent/guardian for my child, have read this release and understood all the terms. I execute it voluntarily and with full knowledge of its significance.