I certify that the participant mentioned below is in good physical and mental health and has never been declared medically ineligible for athletic competition. I further certify that the below-mentioned participant has had no pre-existing medical condition or injury, listed as, but not limited to: exercise-induced asthma, cardiac or pulmonary (lung) disease, abnormal organ deficiencies, and head or neck injuries which may limit playing abilities. I understand that participation in the Just One Projects program activities requires an acceptance of risk. I am aware of the existence of the risk of my physical appearance to the venue and my participation in the activities at the Just One Project and organization that may cause injury or illness such as but not limited to Influenza, COVID-19 that may lead to paralysis or death. I have not experienced symptoms of fever, fatigue, difficulty breathing, dry cough or any other symptoms relating to COVID-19 or any other communicable disease in the last 14 days. If symptoms do arise, I will immediately notify the staff of the Just One Project.
With my signature, I hereby release and hold harmless the sponsors, promoters, staff, and all other persons and entities associated with the Just One Project of Las Vegas and events from any and all injuries or damage for any claims or causes of action whatsoever for any loss or injury suffered by the below participant. The risk of injury from the activities involved in this program could be significant, including the potential of permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation. Furthermore, I hereby grant full permission to all of the foregoing to transport the above participant upon request and to use the above participant’s photograph in videotapes, publications, motion pictures, recordings, social media and other records of events. I understand that the most reasonable care will be provided to the below participant in the event of injury or illness during any Just One Project Programs of Las Vegas sponsored activity, and I authorize emergency medical care should it be needed.
The student agrees to comply with all the Just One Project and Leadership Academy program guidelines and expectations. Students are expected to show up/picked up on time. Students are expected to participate in serving, interact with their peers, work cooperatively, complete tasks/projects, etc. Students are expected to be respectful of themselves, peers, staff, clients and speakers. No swearing, talking back, fighting, threatening and/or disrespectful behavior will be tolerated and will be cause for removal from the program. The students you are expected to not use cell phones – including texting, iPods, or other “nuisance” items during the hours you are working the program. Shirts will be provided for students daily that will be part of their required clothing attire. Additionally, clothing that follows all CCSD dress code policies and closed-toe footwear is required. I have read and fully understand the above and certify and represent that as parent/guardian for the below mentioned child, all registration and release information provided is true. I hereby represent that I have authority to bind and sign on behalf of all parents/guardians of the below participants.