Logo Courtesy
Larissa Metcalf
Hit Counter
Updated:
09/04/2010
| |

WAIVER AND RELEASE BY PARENT OF MINOR CHILD FROM NON
PROFIT
I,
, on behalf
of
(hereinafter referred to as “CHILD”) HEREBY WAIVE AND
RELEASE, indemnify, hold harmless and forever discharge Cavy Care Inc. Guinea
Pig Shelter other wise know as CCI
a non profit 501(c) (3), and its agents, employees, officers, directors,
affiliates, successors and assigns, of and from any and all claims, demands,
debts, contracts, expenses, causes of action, lawsuits, damages and liabilities,
of every kind and nature, whether known or unknown, in law or equity, that I or
CHILD ever had or may have, arising from or in any way related to CHILD’S
participation in any of the events or activities conducted by, on the premises
of, or for the benefit of, Cavy Care Inc. Guinea Pig Shelter
provided that this waiver of liability does not apply to any acts of
gross negligence, or intentional, willful or wanton misconduct.
I understand that the activities and
functions that said CHILD would participate in may be inherently dangerous and
may cause serious or grievous injuries, including bodily injury, damage to
personal property and/or death. On
behalf of myself, CHILD, my heirs, assigns and next of kin, I and said CHILD
waive all claims for damages, injuries and death sustained to me or my property,
that I or said CHILD may have against the aforementioned released party to such
activity.
CHILD has the necessary and requisite skills to
participate in the requested activities and CHILD’S only limitations or
activities from which said CHILD is prohibited are noted below. The nature of
the activities has been fully disclosed and any flyer, advertisement, or
brochure relating to the participating activities is expressly made a part of
this WAIVER AND RELEASE.
By this Waiver, I, on behalf of said CHILD, assume
any risk, and take full responsibility and waive and relinquish any and all
claims of any sort whether in tort, contract, equity or otherwise including any
claims of personal injury, death or damage to personal property associated with Volunteering
for CCI
, including, but not limited to the participation in any volunteer
activities, being transported to and from the volunteer site, consuming food,
recreational activities or otherwise, or using the facility and its equipment,
or other related activities on and off the premises.
This WAIVER AND RELEASE
contains the entire agreement between the parties, and supercedes any prior
written or oral agreements between them concerning the subject matter of this
WAIVER AND RELEASE. The provisions
of this WAIVER AND RELEASE may
be waived, altered, amended or repealed, in whole or in part, only upon the
prior written consent of all parties.
The provision of this WAIVER AND RELEASE will
continue in full force and effect even after the termination of the activities
conducted by, on the premises of, or for the benefit of, Cavy Care Inc.
whether by agreement, by operation of law, or otherwise.
I have read, understand and fully agree to the terms
of this WAIVER AND RELEASE. I
understand and confirm that by signing this WAIVER AND RELEASE said CHILD and I
have given up considerable future legal rights. I have signed this Agreement
freely, voluntarily, under no duress or threat of duress, without inducement,
promise or guarantee being communicated to me.
My signature is proof of my intention to execute a complete and
unconditional WAIVER AND RELEASE of all liability to the full extent of the law.
Medical Conditions.
CHILD is subject to the following allergies or medical conditions, and I
authorize the facility to disclose these conditions to a physician or other
medical professional in the event said CHILD should require emergency medical
care:
Prohibited Activities. As a result of the
above-mentioned medical conditions, I, on behalf of said CHILD, am prohibiting
involvements in the following specific activities:
Date
Printed Name of CHILD
Printed Name of Parent (Guardian)
________________________________
Signature of Parent (Guardian)
Cut
and Past this form, completing it and emailing back to our organization
Thank
you!
|