My student has permission to participate in the field trips planned by the Illuminate Leadership Conference
Conduct During Excursions
I understand that my student’s participation in the activity is a privilege, and not a right. I acknowledge that I have spoken with my child about my child’s need to comply with the specific rules and requirements established for these activities; all program policies and procedures; rules of conduct set forth by the program and, state and federal regulations and laws. I understand that all program rules and policies apply to my student and the other students during the course of the field trip.
Transportation Permissions and Waiver of Liability
All students are expected to ride to the activity on Illuminate Leadership Conference provided transportation. I hereby understand that by signing this form I am releasing and discharging The Illuminate Leadership Institute and The Illuminate Leadership Conference, its/their officers, directors, agents, employees, chaperones, volunteers, successors, assigns and heirs, from any and all liabilities, suits, claims, demands, actions or damages (including attorney’s fees) incurred by me or by my child or are in any way related to or arising out of participation in the above event, including, without limitation, all claims for property damage, personal injuries or wrongful death, including any claims which allege negligent acts or omissions of or by The Illuminate Leadership Institute and The Illuminate Leadership Conference, its/their officers, directors, agents, employees, chaperones, volunteers, successors, assigns and heirs.
Medical Care
In consideration of permission granted to my student to participate in these activities, I hereby authorize the sponsor, in case of injury to said student, to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care to be rendered to the minor under the supervision and advice of any physician or surgeon licensed to practice in the State of Kentucky or State of Ohio. I understand I will be notified of the injury at the earliest possible opportunity, but this authorization will allow treatment until I arrive. I also understand the expenses incurred from any such treatment will be my responsibility.