The undersigned understand that participation in The Palos Verdes Assembly ("Assembly") is voluntary and not part of the regular school program. It is further understood that participation in Assembly, by its very nature, may pose a high degree of risk of injury which may result not only from the actions, inactions, or negligence of Assembly, the Assembly board, its affiliates, its instructors, any agents, employees and volunteers, but also the action, inaction, or negligence of others, the rules of participation, or the condition of the premises. The undersigned further understand that Participant may have to cross one or more streets to travel from the parking lot or a drop-off point to the location of an event. The undersigned acknowledge that Participant must obey all traffic laws and cross all streets safely, and expressly understand and acknowledge that any injury (including permanent disability or death) or damage occurring while traveling from the parking lot or drop-off point to an event is included within the scope of this Release. Participant and his or her parent(s) or guardians(s) willingly and knowingly wish to have Participant participate in spite of the risks. The undersigned authorize Assembly, its Patronesses and its volunteer chaperones to obtain emergency medical treatment for Participant at the undersigned's sole expense. Any negligence in seeking, or failing to seek, emergency medical treatment for Participant is included within the scope of this Release.
In consideration of being allowed to participate in any way in The Palos Verdes Assembly related events and activities, the undersigned:
1. Agree that the member/participant should inspect the facilities and equipment to be used, and if the member/participant believes anything is unsafe, he or she should immediately advise supervisor (advisor, manager, etc.) of such condition(s) and refuse to participate.
2. Acknowledge and fully understand that each member/participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence but the action, inaction, and negligence of others, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
4. Release, waive, discharge, hold harmless and covenant not to sue The Palos Verdes Assembly, the instructors, the Assembly Coordinators, the Patronesses, parent chaperones, volunteers, sponsoring agencies and owners and lessors of premises used to conduct the event, from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death and damage to property, caused or alleged to be caused in whole or in part by the negligence of the persons involved.
5. Shall indemnify and hold The Palos Verdes Assembly, its affiliates, its instructors, any agents, employees and volunteers from and against all allegations, claims, actions, suits, demands, damages, liabilities, obligations, losses, settlements, judgments, costs and expenses (including without limitation attorneys’ fees and costs) which arise out of, relate to or result from any act or omission of The Palos Verdes Assembly, its affiliates, its instructors, any agents, employees and volunteers.
The participant and the undersigned parent(s) or guardian(s) willingly and knowingly wish to participate in Assembly in spite of the risks.
I HAVE READ THE ABOVE WAIVER AND RELEASE OF LIABILITY. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND AM SIGNING IT VOLUNTARILY.
One parent MUST sign this form and any parent planning to be present at an Assembly event must also sign this form.