The Manheim Township Parks & Recreation Department will use every precaution to prevent accidents, however, it will not be responsible for medical, dental or hospital expenses incurred due to accidents occurring during its programs. I understand and agree that as part of having my child participate in the following program, I hereby agree to the following waiver and release; consent for use of photographs and videotape and consent for medical treatment:
I agree to release, indemnify and hold harmless Manheim Township, its agents and employees and the Manheim Township School District, its agents and employees, from and against all liability, claims, damages, losses and expenses, including attorney fees incurred in connection therewith, arising out of or resulting from my child’s participation in the following program. This release, indemnification and hold harmless provision includes claims against Manheim Township, its agents and employees, and the Manheim Township School District, its agents and employees, of negligence and gross negligence but does not include intentional misconduct. This provision shall not cause any defenses which Manheim Township or the Manheim Township School District may have under the Political Subdivision Tort Claims Act.
I also permit Manheim Township Parks & Recreation to use any photographs or videotape of me or my child(ren) for promotional purposes.
CONSENT FOR MEDICAL TREATMENT: As the parent or legal guardian of any participants within a Manheim Township program, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my child or dependent.
I affirm that I have fully read, understand and am freely signing this agreement.