Parental / Participation Consent & Release of Liability
By signing this form, I hereby expressly give my permission for the child named above to participate in activities / or myself in participating in the activities, whether such risks are known or unknown to me at this time I hereby release the Opportunity Center of Orting dba The Haven, it's leaders, employees, volunteers, and / or agents from any and all claims of whatsoever nature that the child named above may have or I may have now or in the future arising out of, resulting from or related in any way from our participation in the activities, including but not limited to claims of negligence. This release also covers all claims of whatsoever nature which the child's and / or my family, and / or estate, heirs, representatives, and / or assigns may have now or in the future against the Opportunity Center of Orting dba The Haven Teen Center, leaders, employees, volunteers, and / or agents arising out of, resulting from or related to in any way from our participation in activities promoted, supervised and chaperoned by the Opportunity Center of Orting dba The Haven Teen Center. I assume all risks of the child named above.
I further agree to indemnify & hold harmless the Opportunity Center of Orting dba The Haven; it's leaders, employees, volunteers, and / or agents from any & all claims of whatsoever nature including but not limited to attorney's fees & legal costs arising from or related to the child named above and / or my participation in its activities & programs, and / or which may result from injury and / or illness of the child named above or myself during the activities As the legal parent (s) or guardian of named child above, I hereby give my permission for him / her to participate in all activities promoted by the Opportunity Center of Orting dba The Haven. I understand that I am responsible for accident and medical insurance if needed en-route to and from the hospital, doctor's office, or clinic and throughout the duration of the youth event I freely and voluntarily release and hold harmless the Haven Teen Center, leaders, employees, and volunteers from any liability in the event of injury to the student named herein