Please click the checkbox to indicate your consent to the following waiver agreement:

In connection with my child or ward’s voluntary involvement in activities undertaken for, and with the participation and support of City Impact, a non-profit charitable organization, I hereby agree, for myself, my heirs, assigns, executors, and administrators to release and discharge City Impact, its officers and directors, employees, agents and volunteers from all claims, demands and actions for injuries sustained to my child or ward’s person and/or property as a result of his/her involvement in such activities, whether or not resulting from negligence, and I agree to release and hold City Impact, its officers and directors, employees, agents and volunteers harmless from any cause or action, claim, or suit arising therewith. I hereby attest that attendance and involvement in such activities is voluntary, that he/she is participating at his/her own risk, and that I have read the foregoing terms and conditions of this release. 

Furthermore, I hereby give permission to my child or ward to participate in CI Academy, CI Literacy, and/or CI Bible Club activities at City Impact. I also give City Impact permission to take my child or ward to the hospital in case of any emergency and to administer medication that I provide for my child.

I also understand and accept terms of City Impact’s privacy policy and Terms of Use.