In consideration of my child’s participation in volunteer activities, programs, training, and events offered by ArtWorks—a nonprofit organization—and its agents, officers, employees, volunteers, instructors, representatives, and affiliated partners (collectively “ArtWorks”), I, the undersigned parent/legal guardian, agree to the following:
1. Consent for Participation
I give permission for my child to participate in ArtWorks volunteer activities, programs, instruction, and supervised outings associated with summer camp operations and events. I understand participation is voluntary.
2. Acknowledgment and Assumption of Risk
I acknowledge that participation in volunteer and camp-related activities involves inherent risks that may include, but are not limited to:
- Slips, falls, burns, rope burns, pinches, cuts, bruises, sprains, fractures, concussions, or other injuries
- Allergic reactions to food, plants, insects, or environmental conditions
- Emotional or psychological stress
- Equipment malfunction or human error
- The actions or inactions of participants, volunteers, or staff
- Unpredictable accidents or incidents
I understand that despite reasonable precautions, supervision, and safety procedures, not all risks can be eliminated. I certify that my child is in good health and physically capable of participating, and I voluntarily assume all known and unknown risks on behalf of my child.
3. Medical Authorization and Emergency Consent
This authorization remains effective for the duration of my child’s participation in ArtWorks programs unless revoked in writing.
In the event of illness, injury, or emergency, I authorize ArtWorks staff and representatives to take reasonable action to protect my child’s health and well-being, including:
- Administering basic first aid
- Contacting Emergency Medical Services (EMS)
- Arranging transportation to a hospital or urgent care facility
- Authorizing licensed medical professionals to provide necessary treatment
- Sharing relevant medical information with emergency personnel when necessary
I understand that reasonable efforts will be made to contact me and the listed emergency contact(s) before treatment is administered. If I or my emergency contact(s) cannot be reached, I authorize emergency treatment to proceed.
I confirm that I have disclosed all relevant medical conditions, allergies, medications, dietary restrictions, behavioral concerns, and special accommodations that may affect my child’s participation. I understand that ArtWorks does not provide medical or accident insurance for participants or volunteers, and I accept responsibility for any related medical expenses.
4. Behavioral Expectations
I understand that volunteers are expected to follow all program rules, cooperate with staff, demonstrate appropriate conduct, and contribute to a safe and respectful environment. I understand that unsafe, disruptive, or inappropriate behavior may result in removal from volunteer activities.
5. Media Release Authorization
I authorize ArtWorks permission to use photographs, audio, and/or video recordings of my child (volunteer) for fundraising and/or marketing purposes. On occasion, with this permission, the media may be included in promotional material, including videos, websites, photo albums, newsletters, billboards, etc. ArtWorks respects the privacy of its participants and does not allow unauthorized visitors to photograph or video program activities or its participants.
6. Release of Liability and Indemnification
To the fullest extent permitted by law, I voluntarily release, waive, discharge, and agree to indemnify and hold harmless ArtWorks, its employees, volunteers, board members, instructors, and affiliated partners from any and all claims, liabilities, damages, or causes of action arising out of or related to my child’s participation in volunteer activities, programs, use of facilities, or equipment, including claims alleging negligence, except in cases of gross negligence or willful misconduct.
I further agree to indemnify and hold harmless ArtWorks for any attorney’s fees or related costs incurred in enforcing this agreement.
7. Governing Law
This agreement shall be governed by and interpreted in accordance with the laws of the Commonwealth of Kentucky.
8. Parent/Legal Guardian Certification
I certify that I am the parent or legal guardian of the minor named in this form and that I have the legal authority to provide this consent and authorization on the child’s behalf.