I AM THE PARENT/GUARDIAN OF THE STATED CHILD OR CHILDREN AND I HEREBY ASSUME ALL OF THE RISKS OF ALLOWING MY CHILD AND/OR CHILDREN TO PARTICIPATE IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that than my child and/or children is physically fit, and has sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my child and/or children’s participation in this activity.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which my child and/or children may participate, and that it will govern my child and/or children’s actions and responsibilities at said activity.
In consideration of my child and/or children’s application and permitting him/her to participate in this activity, I hereby take action for my child and/or children, his/her executors, administrators, heirs, next of kin, successors, and assignees as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my child and/or children’s death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me or my child and/or children including our traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: CAMANCHE RECREATION COMPANY, (CRC), EAST BAY MUNICIPAL UTILITY DISTRICT (EBMUD), and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I acknowledge that CRC/EBMUD and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.
I hereby consent to my child and/or children to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
I understand while participating in this activity, my child and/or children may be photographed. I agree to allow my child and/or children’s photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assignees.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL ON MY CHILD AND/OR CHILDREN’S BEHALF. I AM ALSO AWARE THAT BY SIGNING THIS AGREEMENT I MAY BE WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.