ࡱ> EGD bjbjII 4"++D 8*F$<jj:::;;;;;;;,5?A^(<:"::(<=<:F;:;: ,n=ܗv6 ;S<0<@.EBEBnnx:::(<(<:::<EB::::::::: :    PERMISSION FOR CHILD TO PARTICIPATE AND RELEASE OF LEGAL CLAIMS Name of Activity:________________________________________________________________ Date(s) of Activity:_______________________________________________________________ Description of Activity:___________________________________________________________ ______________________________________________________________________________ I want my child to participate in this activity at ˶ and I give permission for him/her to do so. In exchange, I agree to grant ˶ certain rights. Health Conditions My childs health allows him or her to participate in this activity. My child has health insurance coverage. I give ˶ permission to get emergency medical treatment for my child during the activity. What Im Giving Up I understand that the activity has risks. If my child or I suffer any injury or damage while participating, I release, or give up, any legal claim that I might have against the following for their negligent conduct: ˶ Any employees, officers, agents, or volunteers of ˶ Photos and Videos I give permission for ˶ to take photographs, videos, films, or similar images of my child and of me while my child is participating in the activity. I give permission for ˶ to use the photos, videos, films, or other images for any purpose. ˶ may use my childs name and biography in connection with the images. ˶ may use the images for advertising, research, or any other purpose. I understand that my child and I will not receive any payment for this. Creative Works I understand that my child may create art, poetry, stories, or other creative work during this activity. I give ˶ the right to use, reproduce, and distribute my childs creative work for any purpose. I understand that ˶ may use my childs name and biography with the creative work. ˶ may use the creative works for advertising, research, or any other purpose. I understand that my child and I will not receive any payment for this. What I Agree to Pay For If anyone at ˶ is sued or has to pay anyone else because of my childs conduct, or my conduct, I will reimburse such individuals and ˶ for their legal costs, fees, and payments. My Understanding of this Release I have read this release, I understand it, and I sign it freely. 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