Purpose: The aim of these series of events is to beautify and build a positive presence at MacArthur Park. Each date holds a different activity with fun for everyone!                                            

Meeting location: MacArthur Park Lakeside (Corner of Park View and 7th Street)

Time: 2:30 p.m. - 4:30 p.m.                                                                         

Dates: Friday, April 25, 2025; Friday, May 30, 2025; Friday, June 27, 2025; Friday, July 25, 2025, Saturday, August 2, 2025

For questions/concerns contact Evelyn Balderas at (323) 445-9451

PARENT/GUARDIAN INFORMATION

If you are under the age of 18, please have your parent or guardian complete this section.

EMERGENCY CONTACT INFORMATION

Please provide the information of an individual in the case of an emergency.

MEDIA RELEASE

I hereby grant to KYCC the unqualified and perpetual right to use, and consents to the use of, the name and likeness of myself and/or my child in connection with KYCC’s activities of the photographs, worldwide and in any and all media, including, by way of illustration, but not limitation, the display of still photographs, the inclusion on the World Wide Web and the preparation and dissemination of any advertising and promotional materials used to promote KYCC. As consideration for volunteering for Koreatown Youth and Community Center, I hereby agree that I will not make a claim against or sue Koreatown Youth and Community Center or its employees, agents or contractors for injury or damage resulting from the negligence, whether active or passive, or other acts, however caused, by any of its officers, employees, agents, or contractors of Koreatown Youth and Community Center as a result of my (and/or my child's) volunteering.

LIABILITY RELEASE (For Minors)

I understand that from time-to-time, KYCC, its affiliates, KYCC’s MacArthur Park Community Initiative (MPCI) or any of its affiliates may wish to publish examples of the youth’s projects, photographs of the youth, and other work/images in the website, and/or brochures.  

I understand that KYCC’s MPCI  has an Instagram page (www.instagram.com/mpci.myparc) linked to KYCC’s main Facebook page, Instagram, Youtube channel, and twitter account, managed by the lead staff on a daily basis.  I understand that the lead staff will update photographs and/or videos of activities, events, etc. onto these social media outlets and KYCC main website to be made available for students and the public to view.  I understand that this page may contain photographs and/or videos of youth community council members as well.  I further understand that students may “tag” themselves or each other on these photographs and/or videos to be made viewable on their personal Facebook pages.  I hereby give my consent for my child’s photograph and any audio/visual medium to be taken, duplicated, and disseminated to the public for KYCC’s use.  I understand that the photographs and audio/visual materials are the sole properties of KYCC and that it holds the right to use it to the discretion of agency staff.

Furthermore, I give my consent for my child to ride in the agency’s commercial vehicle or a privately owned vehicle operated by staff, volunteers, interns, or fellow students for any events pertaining to the program on and off duty hours that require transportation for the duration of the program/event.  

Lastly, I hereby grant permission for my child to use all of the program equipment and participate in all activities of the center.  I hereby grant permission for my child to leave the premises under the supervision of a staff member for various activities.  I hereby give permission to seek emergency medical attention for my child if unable to contact me.  The undersigned agrees that KYCC’s Youth community council and its designated leaders and directors are not legally or financially liable for any claim arising from any consent given in good faith in connection with such diagnosis or advised treatment.  This authorization and consent to treatment of said minor is given to KYCC’s MPCI staff in conjunction with any authorized program event.

By signing below, I certify that I am the parent and/or legal guardian of the child named below, and that I have read and understood the terms stated herein.

LIABILITY RELEASE (For All Participants)

I, the undersigned agree to work for Koreatown Youth and Community Center as a volunteer. As a volunteer, understand that I will not be compensated for any time spent volunteering, nor am I entitled to benefits, including employment insurance benefits upon the termination of this agreement or as a result of this service.

I am aware that participation as a volunteer may require periods of (a) physical (b) contact with KYCC staff, community members and other volunteers, (c) other potential risk of injury and will require the exercise of reasonable care to avoid injury. I am voluntarily participating in this activity with knowledge of the hazards and potential dangers involved, and agree to accept any and all risks of personal injury and property damage. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participating in this program and that such exposure or infection may result in personal injury, illness, permanent disability, and death.

As consideration for volunteering for Koreatown Youth and Community Center, I hereby agree that I, and my assignees, heirs, guardians, and legal representatives, will not make a claim against or sue Koreatown Youth and Community Center or its employees, agents or contractors for injury or damage resulting from the negligence, whether active or passive, or other acts, however caused, by any of its officers, employees, agents, or contractors of Koreatown Youth and Community Center as a result of my volunteering. I HEREBY RELEASE AND DISCHARGE Koreatown Youth and Community Center AND ITS OFFICERS, EMPLOYEES, AGENTS AND CONTRACTORS FROM ALL ACTIONS, CLAIMS, OR DEMANDS THAT I, MY HEIRS, GUARDIANS, AND LEGAL REPRESENTATIVES NOW HAVE, OR MAY HAVE IN THE FUTURE, FOR INJURY OR DAMAGE RESULTING FROM MY PARTICIPATION IN THE PROJECT. I UNDERSTAND THAT IF I AM INJURED IN THE COURSE OF THE PROJECT.

I AM NOT COVERED BY Koreatown Youth and Community Center’s WORKERS’ COMPENSATION PROGRAM. I authorize Koreatown Youth and Community Center to seek emergency medical treatment on my behalf in case of injury, accident or illness to me arising from my involvement as a volunteer. I understand that I will be responsible for medical costs incurred by such accident, illness or injury.

I understand that the materials and tools provided by Koreatown Youth and Community Center are and remain the property of Koreatown Youth and Community Center, and I agree to return these tools and any remaining materials to Koreatown Youth and Community Center at the end of my volunteer service.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, AND SIGN IT OF MY OWN FREE WILL.