Parent or Guardian Release
Participants, parents, and legal guardians, please read carefully, sign, and click to submit this form to DSS COLORADO - GERMAN LANGUAGE SCHOOLS. A parent or legal guardian signature on this form is required to participate in any of our programs.
FOR EMERGENCY TREATMENT
I authorize DSS COLORADO to arrange for transportation in case of accident or acute illness of the participant. In the event it is not possible to receive instruction for the participant’s care, consent is given to any licensed physician for treatment. I allow the physician to administer medication and to perform necessary treatment for the preservation of the participant’s health and well-being. I understand that any cost incurred for treatment of sudden illness or accident shall be paid by me. This authorization and consent for treatment is given to DSS COLORADO. in conjunction with any authorized event.
GENERAL RELEASE OF LIABILITY
In consideration for being allowed participant privileges in any program of DSS COLORADO, I hereby assume full responsibility for any risk of bodily injury, death, or property damage and/or while using the premises or any facilities or equipment hereon. I further agree to hold harmless the DSS COLORADO and its partners, directors, officers, employees, agents, and volunteers from any and all claims that may result from any action for damages, including but not limited, to such claims that may result from injury or death, accident or otherwise, during or arising in any way from said activity. I acknowledge that this General Release of Liability of DSS COLORADO and its partners is binding on me and not my heirs, personal representatives, successors, and assigns.
FIELD TRIPS
DSS COLORADO will take short field trips on occasion that are within the program community. We will always return by normal dismissal time, unless we notify you in advance. I give permission for my child to leave the program property with supervision from DSS COLORADO partners, directors, officers, employees, agents, and volunteers. While taking part in these community field trips I release DSS COLORADO from responsibility for any risk of bodily injury, death, or property damage as covered in the "General Release of Liability."
MEDIA RELEASE
I hereby consent to the use of my/my child(ren)’s name, likeness, and speech in any audio tape, video tape, film or photograph made in any DSS COLORADO or any of its affiliates or partners activity for the business or publicity purposes of the DSS COLORADO or any of its affiliates or partners. I understand that any participation offers no remuneration, and that my/my child’s name, likeness, and speech may be edited, produced, recorded for duplication, and distributed throughout the world.
I expressly release DSS COLORADO and its licensees, assignees, affiliates and successors from any privacy, defamation, or other claims have arising out of broadcast, exhibition, publication, or promotion of this program. Please sign the Media Release Exception Form if you do not agree to the media release.
PLEASE SIGN BELOW AS REQUIREMENT TO PARTICIPATE IN ANY Of OUR PROGRAMS.