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  • Youth Night Registration / Liability Form

    Youth Night Registration / Liability Form

    Please submit indivdually for each child.
  • 2024 Events

    • April 19, 2024
    • May 17, 2024
    • June 21, 2024
    • July 19, 2024
    • August 16, 2024
    • September 20, 2024
    • Participant(s) Information 
    • Parent/Guardian Information 
    • Format: (000) 000-0000.
    • Pick Up & Drop Off Liability Waiver 
    • In consideration of participating with the CAFE Recovery Navigator Program in Wenatchee, Washington, I agree, intending to be legally bound, do hereby for myself, executors and administrators agree to acknowledge the following:

       

      Liability Waiver:  I understand that CAFE Recovery Navigator Program assumes no responsibilty for injuries or illnesses I may sustain as a result of participating in any activities that require transportation or physical activity.

      Release/Hold Harmless:  I release and hold harmless Recovery Navigator Program along with its officers, directors, employees, and agents, from any and all liability, claims, and causes of action arising out of or in any way connected with my participation in any activities that require transportation or physical activity.

      Assumption of Risk:  I understand that there are inherent risks in participating with the CAFE Recovery Navigator Program since it entails travel by car to and from Wenatchee, Washington. I personally assume all risks, foreseen and unforeseen, of injuries and other damages associated with paricipating in the Event sponsored by CAFE Recovery Navigator Program. I further agree to cooperate to the best of my ability to achieve the specific and collective objectives and to follow specific and general directions given by individuals associated with the CAFE Recovery Navigator Program.

      **By checking the 'Walk home from' option I understand that I give permission for my child to walk home from Youth Night.

      Acceptance: I have been informed of and understand this agreement. I am voluntarily signing this liability waiver, release/hold harmless, assumption of risk, and publicity agreement. Before participating, I have had the opportunity to ask questions about the activities and the preparations (logistical and otherwise) for the Events and or appointments scheduled by the CAFE Recovery Navigator Program.

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    • Release of Liability 
    • I hereby acknowledge that I am participating in the Youth Night for the Recovery Navigators event, organized by the Community for the Advancement of Family Education (CAFE). In consideration for being permitted to participate in this event, I agree to the following:

      1. I acknowledge and understand that participating in any and all physical activities involves certain inherent risks and dangers, including but not limited to bodily injury, illness, or death.
      2. I agree to assume all risks and hazards incidental to the activities and to release, hold harmless, and indemnify CAFE, its directors, officers, employees, volunteers, and agents from any and all liability, claims, damages, costs or expenses that arise from or are related to my participation in the event.
      3. I understand that CAFE is not responsible for any loss or damage to any personal property that may occur during the event.
      4. I agree to cooperate fully with CAFE and its staff in the event of an injury, illness or emergency and to follow all instructions and guidelines provided.
      5. I confirm that I have disclosed any medical conditions, allergies, or other health-related issues that may affect my participation in the event.
      6. I confirm that I have adequate medical insurance to cover any injuries or illnesses that may result from my participation in the event.
      7. I agree to allow CAFE to use any photographs or videos taken of me during the event for promotional or educational purposes.

      I have read and fully understand this Liability Release Form and its contents, and I sign it voluntarily and with full knowledge of its significance.

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    • Emergency Contact Information 
    • Format: (000) 000-0000.
    • Should be Empty: