I request that the applicant listed above be permitted to participate in Outshine education center program(s I affirm that the applicant listed above is at program(s) he/she may receive necessary first aid, medical attention by a licensed physician or be admitted to a hospital in case of emergency. I will NOT hold Outshine education center, its officers, employees/staffs, agents, contractors and volunteers liable for medical aid rendered and will reimburse Outshine school. for medical or other expenses incurred in his/her care. I agree to release, indemnify, defend and hold Outshine Education Center, its officers, employees, agents, contractors and volunteers harmless and free from any and all liability resulting directly or indirectly from participation in the(se) program(s), including but not limit to liability for any and all demands, damages, claims, suits, liens and judgments, including costs and attorneys' fees, of whatever nature, for injury or death of any person, damage to property, or interference with the use of property, arising from or in connection with participation in the program(s I have carefully read this Indemnity, Release, Waiver and Authorization for Emergency Medical Care Agreement and fully understand its contents and understand that it shall be binding upon me, my heirs, successors and assigns. I am aware that this is a full release of liability and sign it of my own free will.
Photo and Video: I give permission for my /my child's (if student is under 18) photograph to be used by Outshine Education Center on its website and for any Outshine Education Center-related publicity, including print and broadcast media.