Informed Consent

I voluntarily assume all risks and hazards associated with these activities, including but not limited to those occurring during travel to and from program/event sessions.

I hereby release, indemnify, and hold harmless the Carrie Tingley Hospital Foundation, its officers, agents, representatives, volunteers, and any affiliated entities from any and all liability for injuries, damages, or losses incurred by the myself/my child as a result of participation in program activities and events.

I acknowledge and understand that participation in physical activities/events carries inherent risks. These risks may include, but are not limited to, sprains, fractures, paralysis, or other serious injuries, including death. I further waive any claims against the Carrie Tingley Hospital Foundation, its staff, volunteers, sponsors, advertisers, and, if applicable, property owners or lessors of program venues.

Photo/Video Waiver

In consideration of my and/or my child’s participation at events/programs, I hereby grant permission to Carrie Tingley Hospital Foundation's staff and affiliates to utilize my and/or their Volunteer appearance/participation, performance and/or voice in published media for the purpose of promotion, reporting or publication related to the organization. I understand that no royalty, fee or any other compensation of any kind shall become payable to me for the organizations use of my and/or my child's appearance, likeness, voice, etc. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

Confirmation

By signing and dating below, I confirm that the information provided on this form is true and accurate to the best of my knowledge. By signing and dating below, I agree to abide by the waivers and releases listed above. I acknowledge that by submitting my electronic signature, it carries the same legal effect as a handwritten signature and is equally binding.