Parent’s: Please read the statement below before signing.
ln consideration for allowing the above camper (“MlNOR”) to participate in (G.R.O.W”) held at the (“Jefferson Community Center/’), l, as the parent andlor legal guardian of Minor, or myself, and on behalf of Minor and his/her parents, heirs, executors, administrators, next of kin, successors, and assigns, all of whom shall be legally bound by this release, hereby agrees as follows: Minors under 18 years of age and I am 18 years of age or older. I acknowledge that Minor is not required to participate in the EVENT.
His/her participation is voluntary and solely for Minor/s benefit and entertainment. I understand that said Minor can withdraw from the
Event at any time. We understand there are inherent risk associated with Minor’s participation and use of either Venue. We understand and acknowledge that events will have an action sport that may require him/her to engage in strenuous and/or potentially dangerous activities. Neither Minor nor I are aware of any reason, medical or otherwise, why Minor should not participate in the event, and we are
prepared to, and do, hereby accept any and all risks, whether known or unknown to Minor and or/me, of having Minor participate in the Event.
1. Minor and I agree to indemnify, release, forever discharge and hold harmless, and I covenant not to sue, the hosts and their
respective partners, owners, stockholders, directors, officers, employees, agents, representatives, heirs, successors, and assigns,
and each and every person acting by, through, under, or in concert with them, or any of them (hereinafter individually and collectively referred to as the (“indemnified Parties”), of and from all manner of action or actions, cause or causes of action, at law or equity, suits, claims, demands, which Minor and/or I may have or hereafter have against the indemnified Parties’ negligence {whether active or passive), Minor’s participation in the Event, and/or any and all risks assumed by Minor and/or me hereunder.
2. I hereby authorize and grant the right to indemnified Parties and or anyone authorized by them or acting on their behalf to use, record, reproduce, publish or depict my voice, recording, photograph, and/or likeness, I any manner that they deem necessary or appropriate, in all media, perpetuity, in and in connection with production, distribution, marketing promotion,
advertisement, packaging, sale, publication, exhibition, and/or exploitation of the Event, including, without limitation, in any and
all print advertisements, broadcasts, telecasts, and/or retransmissions of or regarding the Event. This may be done without any further permission from me and without any fee or other compensation to me.