Please list any additional emergency contacts below

I understand that photos, videos and audio recordings of my youth participant will be taken during the event. I also understand that Braided Seeds would like the opportunity to share this media featuring my youth participant for education/field-building and/or marketing efforts for Braided Seeds but will only do so if I grant a full media release. I am also aware that Braided Seeds creates private photo albums to share media amongst staff through Google Photo. I agree to only publicly share media from the private albums that solely feature my child or will seek explicit permission from the families of any other youth featured in media I wish to share outside of the private albums.

In exchange for participation in the activities and programming organized by Braided Seeds and/or use of the property, facilities and services of Braided Seeds, I agree for myself and (if applicable) for the members of my family, to the following: 1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Braided Seeds, or the employees, representatives or agents of Braided Seeds or their partners and volunteers. 2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Braided Seeds for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of Braided Seeds, whether caused by the fault of myself, my family, Braided Seeds or other third parties.3. INDEMNIFICATION. I agree to indemnify and defend Braided Seeds against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Braided Seeds. 4. FEES. I agree to pay for all damages to the facilities of Braided Seeds caused by any negligent, reckless, or willful actions by me or my family. 5. CONSENT. I, the guardian named on this application, consent to the participation of the participant/s, as provided in this electronic form, in Braided Seed's programming and agree on behalf of the below minor/s to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of the participant/s listed on this application. 6. MEDICAL AUTHORIZATION. In the event of an injury to the above minor during the above described activities, I give my permission to Braided Seeds or to the employees, representatives or agents of Braided Seeds to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin at the start at the beginning of signing and will remain in effect until terminated in writing by the undersigned or when the minor/s no longer participates in Braided Seeds programs, whichever occurs first. Braided Seeds shall have the following powers: a. The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital; b. The power to authorize medical treatment or medical procedures in an emergency situation; andc. The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 7. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under Washington law. 8. NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Braided Seeds has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement. 9. ARM'S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity. 10. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement. 11. EMERGENCY CONTACT. In case of an emergency, the provided emergency contact and/or listed Guardian for the participant will be called. Please sign below to confirm you have read and agree to the terms listed.

There is a $20 non-refundable fee to reserve your spot on this trip. If, after registering, you realize you are no longer able to attend, please email erandiflores@braidedseeds.org so your spot can be released to another youth.