Acknowledgement of Risk & Waiver of Liability
I expressly assume any and all risks of injury or death arising from or relating to any of the NatureLab’s activities (the “Activities”) and waive and release any and all actions, claims, suits or demands of any kind or nature whatsoever against the NatureLab, its owners, employees, corporate affiliates, contractors, vendors, officers, agents, sponsors, volunteers or representatives of any kind (collectively “Releasees”) arising from or relating in any way to my child’s voluntary participation in the Activities. I understand that this Release, Waiver of Liability, Indemnity and Parental/Guardian Consent agreement means, among other things, that if my child is injured or dies as a result of his/her participation in the Activities, I, and/or my family or heirs cannot under any circumstances sue Releasees for damages relating to or caused by my child’s injuries or death. I agree to indemnify Releasees, and their subrogees, if any, in the event of any loss, damage or claim arising from or relating in any way to my child’s participation in any of the Activities.
Walking Field Trip Permission
I hereby give permission for my child to travel by foot on field trips conducted by the NatureLab. I agree that the NatureLab, and staff accompanying the group on the trip will not be held liable for any damage or injury that my child may sustain during the trip. Note: If any other form of transportation is used, you will be notified in advance for written approval prior to the field trip.
Online Activity Permission
I hereby give permission for my child to participate in online activities conducted by the NatureLab via Zoom or other applications. I agree that the NatureLab, and any staff operating an online application will not be held liable for any damage or injury that my child may sustain during the online activities including but not limited to privacy issues.
Photo Release
I understand that the NatureLab may include photographs of program participants, staff, and families on our website and other media outlets to promote its Activities. I hereby give permission for photographs, video footage and audio recordings of my child to be published in print or electronic media without compensation or approval rights. I understand that no individual photos of my child’s face will be published.
COVID-19 & Transmissible Illness Indemnification
I hereby release, indemnify and agree to hold harmless the NatureLab from, on behalf of myself/my family, our heirs, and any personal representatives, any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damages or loss to myself and/or property that may be caused by unintentional exposure, harm or damages due to COVID-19 or other transmissible illnesses. I acknowledge the contagious nature of COVID-19. I further acknowledge that the NatureLab has put in place preventative measures to reduce the spread of COVID-19. I further acknowledge that the NatureLab cannot guarantee that I will not become infected with COVID-19. I understand that the risk of my child becoming exposed to and/or infected by COVID-19 may result from the actions, omissions, or negligence of my child and others, including, but not limited to staff, and other students and their families. I voluntarily seek services provided by the NatureLab and acknowledge that my child’s risk to exposure to COVID-19 may increase. I acknowledge that our family must comply with all set procedures to reduce the spread while my child attends the NatureLab activities. Should any of the statement above change, I shall immediately notify the NatureLab and I acknowledge that my child may be removed from the program/activity for his/her own health and the health of everyone participating in the NatureLab activities.
Consent for Medical Treatment
I grant my authorization and consent for authorized representatives of the NatureLab to administer general first aid treatment for any minor injuries or illnesses experienced by my child. If the injury or illness is life threatening or requires emergency treatment, I authorize the NatureLab to summon any and all professional medical emergency personnel to attend, transport, and treat my child. I agree to assume financial responsibility for all expenses of such care.
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I have read this Release, Waiver of Liability, Indemnity and Parental/Guardian Consent Agreement, and execute it freely and without duress.
Name of Parent/Legal Guardian
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First Name
Last Name
Name of Child/Participant
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First Name
Last Name
Signature of Parent/Legal Guardian
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Signature of Minor
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date signed
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Month
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Day
Year
Parent/Legal Guardian's Phone Number
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Parent/Legal Guardian's Email
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