RISING STARS YOUTH FOUNDATION
ACCIDENT WAIVER RELEASE OF LIABILITY AND AUTHORIZATION OF EMERGENCEY CARE
In consideration for my child / children being permitted to be an active youth participant in Rising Stars Youth Foundation (“Rising Stars”) programs, I (in my behalf and in behalf of my child / children, executors, administrators, heirs, next of kin, successors, and assigns) hereby:
(A) WAIVE, RELEASE, AND DISCHARGE Rising Stars from any and all liability, including but not limited to, liability arising from any negligence or fault of the entities or persons released, for disability, personal injury, or actions of any kind which may hereafter occur to my child /children (including traveling to and from any scheduled activities or otherwise while the undersigned is in, upon, or about the premises or any facilities or equipment therein) while participating in any program affiliated with the Rising Stars, without respect to location.
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE Rising Stars and / or any of its officers or agents from any and all liabilities or claims made as a result of my child / children’s participation in their activities, whether caused by negligence or otherwise.
(C) CONSENT for my child / children to receive medical treatment which may be deemed advisable in the event of injury, accident, illness and / or other emergency situation during this activity and in the event that I cannot be contacted, and
(D) AUTHORIZE Rising Stars, its officers, staff and employees to act and serve on my behalf in securing emergency attention for my child / children while participating in Rising Stars programs if I cannot be reached.
(E) UNDERSTAND that my child / children may be photographed while participating in Rising Stars programs, and agree to allow any photos, videos, or film likenesses to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.
This Accident Waiver, Emergency Care Authorization, and Release of Liability Form shall be construed broadly to provide permissions, agreements and a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ AND I FULLY UNDERSTAND THE RISING STARS ACCIDENT WAIVER, RELEASE OF LIABILITY AND AUTHORIZATION OF EMERGENCY CARE DOCUMENT. I AM AWARE THAT THIS IS A FORMAL CONTRACT, AND THAT BY SIGNING I GIVE UP SIGNIFICANT LEGAL RIGHTS.
Parent / Guardian e- Signature_________________________________ Date____________