Assumption of Risk, Release of Liability, Indemnity, and Medical Emergencies Agreement:
I, the minor's parent or legal guardian, understand the nature of the activities my child will be involved in at Leavitt Center, and the minor's experience and capabilities, and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activities.
I acknowledge that the Leavitt Center is NOT A DAYCARE and will not be responsible for the care and/or supervision of my child as determined by Idaho State Code.
I do hereby for myself, my heirs, executors, administrators, successors, and assigns release acquit, and forever discharge the Leavitt Center, owners, teachers, staff, employees and subcontractors, from any and every claim, demand, right, or cause of action, property damage, personal injury, costs, loss of service, expenses of any kind, and any compensation whatsoever, which I may ever assert by reason of my or my child's presence and or participation in Leavitt Center programs which might arise from natural, environmental, or weather condition, and from any and all claims which may arise from any use of equipment which might be attached to or near any structures or apparatuses on the premises, or used in conjunction with the Leavitt Center programs, and all clams which may arise out of the acts or omissions of other persons on the premises, whether directly connected to the Leavitt Center program or not. I hereby acknowledge that this RELEASE is voluntarily given with full knowledge of the meaning and consequences of this RELEASE.
As further consideration for participation in Leavitt Center activities, I do hereby for myself, my heirs, executors, administrators, successors, and assigns agree to indemnify and hold harmless the Leavitt Center and its insurers from all liability, loss, cost, claim or damage whatsoever which may be imposed upon the Leavitt Center resulting from its employees or agents. I will indemnify, save, and hold harmless each of the releases from any litigation expenses, attorney fees, loss liability, damage, or any cost that may occur as the result of any such claim.
In the event of an accident or emergency I hereby authorize me or my child to be transported to a hospital for medical treatment and I hold Leavitt Center and its representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for Leavitt Center.
I hereby authorize and allow the Leavitt Center to use my likeness or picture in any photograph or advertising for promotion for the Leavitt Center. |