WE ARE WASHINGTON RELEASE AND CONSENT FORM
Before your child (or children) participates in any activity at the Washington Community Development Center (“We Are Washington”), you, as a parent or legal guardian, must read, sign, and return this Release of Liability and Acceptance of Risk (“Release”). By signing this Release, you acknowledge and agree that you have read and understand this Release.
RELEASE OF LIABILITY AND ACCEPTANCE OF RISK
The undersigned, the lawful parent and/or guardian of the above child, consent to the participation of the child in all activities and classes conducted at We Are Washington, including extracurricular activities, and to the participation of the child in all events related to said activities. The undersigned understands, acknowledges, and assumes the risks associated with my child’s participation in such activities. Specifically, the undersigned understands that the child’s participation may result in illness, sprains, strains, abrasions, breaks, dislocations, other injuries (including death), and damage to personal property.
Aware of these risks, the undersigned expressly agrees to release, indemnify, defend, and forever discharge We Are Washington and any of its officers, employees, volunteers, agents, and/or successors and assigns from and against any and all liability, claims, actions, demands, damages, costs, or expenses of any kind that may arise from the child’s participation in activities provided by We Are Washington.
CONSENT TO MEDICAL TREATMENT
The undersigned consents to allow anyone at We Are Washington to administer any first aid that the child may need. The undersigned also consents to allow medical attention from Life Net or any other medical professional and to transport them to the nearest hospital, if necessary.
The undersigned expressly agrees to release We Are Washington and any of its officers, employees, volunteers, agents, and/or successors and assigns from any and all liability, claims, or actions that may arise from the child’s necessary medical treatment.
CONSENT TO USE OF CHILD’S IMAGE
The undersigned grants We Are Washington permission to capture, edit, reproduce, publish, and/or use photographs, videos, recordings, and other digital images (collectively, “Image”) of my child. The undersigned consents to We Are Washinton’s use of such Image, as well as the child’s first name and age, in electronic or printed publications and materials, including, but not limited to, web sites, social media posts, promotional materials, and press releases. The undersigned authorizes the use of such Image without compensation in return. If you do not want We Are Washington to use your child’s Image, first name, or age, then you must contact We Are Washington’s Operations Director, Laura McDowell (lmcdowell@wearewashington.org), in writing or by electronic mail.
The undersigned expressly agrees to release We Are Washington and any of its officers, employees, volunteers, agents, and/or successors and assigns from any and all liability, claims, or actions that may arise as a result of the use of the child’s Image, first name, and/or age.
PERMISSION TO TRANSPORT CHILD
The undersigned grants We Are Washington permission to transport his or her child to and from events and activities sponsored and/or provided by We Are Washington. By signing this Release, the undersigned gives permission for the child listed above to ride the van/bus or any other form of transportation provided by We Are Washington to participate in activities and attend programs provided by We Are Washington.
The undersigned expressly agrees to release We Are Washington and any of its officers, employees, volunteers, agents, and/or successors and assigns from any and all liability, claims, or actions that may arise from the child’s transportation to and from events and activities sponsored and/or provided by We Are Washington.
VOLUNTARY SIGNATURE
If the undersigned has any questions regarding any of the terms herein, the Undersigned agrees to contact Laura McDowell (lmcdowell@wearewashington.org) before signing this Release. By signing this Release, the undersigned acknowledges that he or she fully understands the terms herein and has agreed to sign this Release voluntarily.