ASSUMPTION OF RISK LIABILITY WAIVER & RELEASE
Please read this carefully and be aware in registering yourself, your child, or ward for participation in this program, you will be waiving and releasing all claims for injuries you or your minor child/ward might sustain arising out of the RootsForKids program (hereinafter referred to as “program”).
On behalf of my minor child, I hereby give permission for my child to participate in the program. I hereby warrant that both myself and my child are familiar with the risks associated with participation in this program.
As the parent/guardian of a participant in the program, I recognize and agree to assume the full risk of any injuries, including death, damages, or loss which I or my minor child/ward may sustain as a result of participating in any or all activities connected with or associated with such program.
I do hereby fully release and discharge the facility, program and its officers, directors, employees, contracted employees, independent contractors, instructors, agents, organizers, and volunteers, from injuries, including death, damage, or loss which I or my minor child/ward may have or which may accrue to me or my minor child/ward on account of my participation in the program.
I hereby release, absolve, indemnify, and hold blameless its officers, directors, employees, contracted employees, independent contractors, instructors, agents, organizers, and volunteers from any and all claims associated with the activities of the program.
I understand that in case of a medical emergency, medical aid may be sought while I am being contacted. In the event of any illness or injury, I hereby consent to whatever examination, diagnosis, or treatment and the hospital care from a licensed dentist, physician, and/or surgeon as deemed necessary for my child’s safety and welfare. I understand that the resulting expenses will be my responsibility.
I acknowledge that I have read this consent form, and knowingly, on behalf of my child, assume all of the risks associated with participating in any way in the RootsForKids program and agree to abide by the aforementioned policies.