In consideration of being allowed to participate in any way in the program, related events and activities, I, the undersigned, acknowledge, appreciate and agree that:
- The risk of injury from the activities involved in this program/activity may be significant, including the potential for permanent paralysis and/or death.
- I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS and assume full responsibility for my participation.
- I willingly agree to comply with all terms and conditions for participation. I will comply with all safety policies and procedures. If I observe any hazard during my presence or participation, I will remove myself from participation and bring such information to the attention of the nearest Instructor immediately.
- I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS DIFFERENTREGARD CO, its officers, officials, agents and/or employees, other participants, sponsors and its officers, agents, servants and employees, advertisers and, if applicable, owners and lessors of premises used to conduct the event (“Releasees”) from any and all claims, demands, losses and liability arising out of, or related to, any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, to the fullest extent permitted by law.
- In the case of a life-threatening or serious accident or illness, I (parent or guardian) ask that the City contact me. In such case, I give permission for a rescue squad to transport my child to the closest medical facility. Should this occur, I give permission for the medical facility to treat my child at my expense.
- In the case of a life-threatening or serious accident or illness, I give permission for a rescue squad to transport me to the closest medical facility. Should this occur, I give permission for the medical facility to treat me at my expense.
- I give permission for me or my child to be videotaped or photographed while participating in the program or activity, and I give permission for DIFFERENTREGARD CO to use the videotape and/or photographs in brochures, newspaper articles, on the company's website, Facebook, Twitter on Public Television and in other local media outlets.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, I FULLY UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.