I hereby give my permission for the above-named Child(ren) to participate in Voices for Children’s youth engagement activities, including, but not limited to: Youth Leadership Council meetings and outings, policy cohorts, workshops, etc.
I specifically acknowledge and agree to the following:
1. I am a parent or designated guardian of Child(ren) and I have the legal authority to grant permissions described in this General Liability Waiver for Participation.
2. I understand that participation in any program which involves physical activity exposes me and/or the Child(ren) to certain risks and dangers, including injury, illness, property damage, or death. These hazards are always a possibility, and I understand it is impossible to foresee and protect the Child from all conceivable dangers.
3. I agree, on behalf of Child(ren) and myself, that Child’s presence and participation in Voices for Children’s youth engagement programs are at our own risk, and I assume full responsibility for any injury, illness, damage, or death that may result from Child(ren)’s participation in such programs.
4. By signing this Liability Waiver, with full appreciation of the risk involved, on my own behalf and on behalf of Child(ren), I hereby voluntarily release, discharge, and hold harmless Voices for Children and its affiliates, successors and assigns, officers, board members, employees, volunteers, representatives, partners, agents and anyone claiming through them, in their individual and/or corporate capacities, (“Releasees”) from any and all claims, liabilities, obligations, promises, agreements, disputes, demands, damages, causes of action of any nature or kind, arising out of or in any way connected with Child(ren)’s presence at or participation in the youth engagement programs, to the fullest extent permitted by law, including for any personal injury, illness, property damage, or death, arising from or related to, directly or indirectly, Child(ren)’s participation in youth engagement activities, other than claims arising from the Releasees’ gross negligence or willful misconduct.
5. I further consent to Child(ren)’s receipt of medical treatment deemed necessary if Child(ren) is/are injured or requires medical attention during participation in these youth engagement activities. I hereby release, forever discharge, and hold harmless Voices for Children and all other Releasees from any claim based on such treatment or other medical services.
6. Other Terms:
a. Entire Agreement: This Release constitutes the sole and entire agreement of Voices for Children and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter.
b. Severability: If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction.
c. Binding Effect: This Release is binding on and shall inure to the benefit of Voices for Children and me and our respective heirs, successors, and assigns.
d. Governing Law and Venue: All matters arising out of or relating to this Release shall be governed by and construed in accordance with the laws of the State of Nebraska, without giving effect to any choice of law or conflict of laws principles. Any claim or cause of action arising under this Release may be brought only in the federal and state courts located in Douglas County, Nebraska and I hereby consent to the exclusive jurisdiction of such courts.
By signing this form, I confirm that I have read and understood the terms outlined above.
I freely and voluntarily give my consent for Child(ren) to participate in the activities, programs, or services described. I understand the responsibilities, requirements, and any potential risks involved.
