Liability Form
IN CONSIDERATION OF my minor child/ward as listed below in this form (“My Child”), being allowed to participate in any way in this Chandler Park program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. The risk of injury to My Child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and
2. I, for myself, my spouse, My Child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE THE other participants, Chandler Park, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to My Child’s involvement or participation in this program, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law; and
3. FOR MYSELF, MY SPOUSE, AND MY CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for My Child’s participation; and
4. I, for myself, my spouse, My Child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releases from any and all liabilities incident to My Child’s involvement or participation in these programs, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES, to the fullest extent permitted by law; and
5. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in My Child’s readiness for participation and/or in the program itself, I will remove My Child from participation in the program and bring such to the attention of the nearest official immediately; and
6. I grant Chandler Park Conservancy, and its trustees, advisors, staff, volunteers, agents, successors, licensees, and assigns, the irrevocable right and license to use videography, audio, and photography, to edit or crop photographs, and to use or authorize the use of such audio, videography, or photography or any portion of them in any manner or media at any time in perpetuity, and to use My Child’s name, likeness, biographical or other information concerning him/her in connection therewith, including promotion in all media. I agree to hold Chandler Park Conservancy harmless against any liability, loss, or damage resulting from the use of My Child’s photographs, and I hereby release and discharge Chandler Park Conservancy and its trustees, advisors, staff, volunteers, sponsors, agents, successors, licensees, and assigns from any and all claims in connection with such use of photographs; and
7. If I am unable to provide transportation for My Child, I give permission for My Child to be driven by Chandler Park Conservancy and its staff and/or volunteers, including parents of participants. I assume full responsibility and I hold harmless Chandler Park Conservancy and its trustees, advisors, staff and volunteers from any and all claims related to such transportation.
8. Chandler Park Conservancy and its partners offer surveys to youth and to parents. I consent for CPC to use survey information for the improvement of programs and for reporting aggregate information about programs, coaches, parents, and youth.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, AND FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.