In consideration for being allowed by the Nate McMillan Foundation (NMF) to participate in the Mentoring Program (hereinafter “Program”) the undersigned custodial parent/guardian hereby agrees as follows:
*I do hereby affirm and acknowledge that my child is participating in the Program for his/her own personal benefit, and have been fully informed of the inherent hazards and risk to them associated with this activity including property damage, falls, contact with other participants, sprains, and other personal injuries. I accept and assume responsibility for all risks, known and unknown, involved to my child and their property in the aforementioned activity, and I voluntarily authorize my child’s participation in reliance upon my own judgment and knowledge of my child’s experience and capabilities.
*I understand that the determination of my child’s ability to participate in the Program should be made by my child’s physician if necessary.
*I understand that I need the approval of a physician if I am uncertain as to his/her physical fitness for the rigors of this Program.
*I understand that I may be required to seek approval from a physician if there is a health or safety question relative to my child’s condition before being allowed to participate in the Program.
*In addition, I give permission to any doctor, hospital, or other medical facility to release confidentially to the treating physician(s) for my child any information they may have concerning his/her medical condition and their professional contact with him/her for treatment purposes.
*I hereby grant my permission for such diagnostic, therapeutic, and operative procedures as deemed necessary for my child.
*A photocopy of this permission is to be considered valid as the original.
*I further understand that treatment for any medical problems my child may suffer is my responsibility and will be paid by me and/or covered by my insurance.
*I shall indemnify and hold harmless The Nate McMillan Foundation (NMF), its trustees, officers, employees, agents and partners from any liability, losses, costs, damages, claims or causes of action of any kind or nature whatsoever, and expenses, including attorneys fees, arising from or proximately caused by my child’s participation in this Program.
*I hereby release, waive, acquit, and forever discharge the Nate McMillan Foundation (NMF), their representatives, successors, insurers, assigns or any other person or entity associated with the above organization such as staff, mentors, volunteers from liability, claims, demands, or causes of action for any and all loss, damage, or injury and any claim of damages resulting from use of facilities owned or controlled by the above organization or participation in activities either at or away from the Nate McMillan Foundation
*I further agree to accept and assume for myself, my assigns, executors, and heirs any and all such risks and losses that may occur. I have read the Program’s policies and hereby accept the regulations of the Program described therein.
*I understand that the Program has the authority to establish and enforce other regulations in addition to these.
*I do hereby agree to allow my child to be photographed, audio or videotaped by the Nate McMillan Foundation (NMF) and affiliated co-sponsors while a participant in NMF programming. I further agree that my child’s image or likeness in photographs, videos, or audio may be used for educational or promotional purposes, including posting on the Internet.
*I agree that the use herein may be without compensation to me or my child.
*I hereby waive any right to inspect or approve the finished electronic, photograph, or printed matter that may be used in conjunction with them now or in the future.
*I am expressly releasing the Nate McMillan Foundation (NMF), its agents, employees, licensees and assigns from any and all claims which I may have for invasion of my child’s privacy, right of publicity, defamation, copyright infringement, or any other causes of action arising out of the use, adaptation, reproduction, distribution, broadcast or exhibition of such recordings.
I understand that this is a legal document which is binding on me, my heirs and assigns and on those who may claim by or through me. I am eighteen years of age or older, and have full capacity to enter into this agreement and do so voluntarily.
I HAVE READ THIS AGREEMENT, I UNDERSTAND IT AND I AGREE TO BE BOUND BY IT.