Please read this agreement carefully before indicating your consent below.
In consideration of my child or legal ward’s voluntary participation in the Program and related activities organized or sponsored by City Impact, a nonprofit charitable organization, I, the undersigned parent or legal guardian, hereby agree to the following terms on behalf of myself, my child or ward, and our respective heirs, assigns, executors, and administrators:
1. Release of Liability
I hereby release, discharge, and hold harmless City Impact, its officers, directors, employees, agents, volunteers, representatives, and affiliated parties (collectively, “Released Parties”) from any and all claims, demands, causes of action, or liability arising from or related to any injury, illness, loss, or damage to person or property that may occur to my child or ward as a result of participation in the Program or any associated activities, whether arising from the negligence of the Released Parties or otherwise.
2. Assumption of Risk
I acknowledge and agree that participation in the Program involves inherent risks, including the risk of physical injury. I certify that my child or ward is voluntarily participating and is physically fit and able to engage in such activities. I assume full responsibility for any and all risks of injury or damages that may result.
3. Emergency Medical Authorization
In the event of a medical emergency, I authorize City Impact staff, representatives, or volunteers to seek medical treatment for my child or ward, including transportation to a medical facility. I agree to be responsible for all costs associated with such treatment. I also authorize City Impact to administer any medication I provide for my child or ward, in accordance with my written instructions.
4. Media Release
I grant permission to City Impact to photograph, video record, and/or quote my child or ward during the Program. I authorize the use of such media for promotional, marketing, fundraising, and educational purposes in print, online, or other formats, without compensation or need for further approval.
5. General Consent to Participate
I hereby give my full permission for my child or ward to attend and participate in all activities associated with the City Impact Program. By signing or submitting this form, I confirm that I have read and fully understand the terms of this Liability Waiver and Consent Agreement, and that I voluntarily agree to be legally bound by it.
