DISCLAIMER

Life House Youth Center and its board members, officers, employees, contractors, agents, volunteers, members and representatives, are not responsible for any injury, loss or damage of any kind whatsoever sustained by any person or their property while participating in events, activities or travel with Life House Youth Center and all related activities associated with the Life House Youth Center, including injury, loss or damage.

ASSUMPTION OF RISKS

IN CONSIDERATION OF Life House Youth Center allowing me or my child to participate in events, activities, or travel with LHC and all related activities associated with the LHC and all activities related to the programming/activities.  I acknowledge that I am aware of the possible Risks, Dangers and Hazards associated with participation in the activities and programming including the possible risk of severe or fatal injury to myself or others. 

RELEASE OF LIABILITY and AGREEMENT

IN CONSIDERATION OF Life House Youth Center allowing me or my child to participate in the activities/programming, I agree on behalf of myself and/or my child:

1. TO ASSUME and ACCEPT ALL RISKS arising out of, associated with or related to my or my child’s participation in the activities, programs and transportation. 

2. I the parent or legal guardian of the participant hereby grant my permission for the participant to participate fully in the Life House Youth Center activities and mentor program.  Furthermore, I, on behalf of my minor participant, hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in the activities related herein.

3. TO INDEMNIFY and HOLD HARMLESS Life House Youth Center from any and all liability for any damage to the personal property of, or personal injury to, any third party resulting from my or my child’s participation in the activities, programs and transportation.

4. TO INDEMNIFY and HOLD HARMLESS Life House Youth Center from any and all claims, demands, actions and costs for any loss, injury, damage or expense whatsoever that might arise out of my or my child’s participation in the activities and programs including transportation.

YOUTH PARTICPATION CONSENT

Acknowledgment of Participant:

I, the undersigned Participant, understand that I am responsible to act in a safe and responsible fashion, to follow the instructions or directions of the persons in charge of the LHC, and to obey requests to comply with safety regulations as directed by the persons in charge of the LHC, including designated leaders and drivers of private or public transportation. I will be solely responsible for myself, will wear a seat-belt when available and will not disturb or distract the driver when using private or public transportation to travel to and from LHC activities. At all LHC activities and programs, I acknowledge that it is my responsibility to obtain and wear appropriate safety equipment. I will not endanger the safety of others or myself at any activities, outings or programs of LHC or when using private or public transportation for travel to and from such activities. I also understand that I may be photographed or appear in video for such purposes as LHC deems necessary.

Acknowledgment of Parent or Guardian of Participant:

We, the undersigned Parents or Guardians of the Participant, hereby authorize and consent to the Participant’s involvement in the LHC, including any use of private or public transportation deemed necessary by the persons in charge of the LHC for Participant travel to and from LHC activities, or to the NEAREST SUITABLE MEDICAL or HOSPITAL FACILITY in the event that emergency or other medical treatment not available at the site of a LHC activity is deemed advisable. We hereby consent to and authorize such emergency or other medical treatment of the Participant as may be deemed advisable in the event of accident, injury, or illness during the activities of the LHC. We also understand that the participant may be photographed or appear in video for such purposes as the LHC deems necessary.

 

ACKNOWLEDGEMENT and SIGNATURE

I UNDERSTAND THAT THIS IS A LEGAL AGREEMENT that is binding upon myself and my heirs, executors, administrators, successors and assigns. I HAVE READ AND UNDERSTAND THE TERMS OF THIS AGREEMENT and I ACKNOWLEDGE THAT by signing this agreement voluntarily, I am agreeing to abide by its terms and I am waiving certain legal rights that my child or I may have.