ASSUMPTION OF RISK, WAIVER OF LIABILITY & INDEMNIFICATION,
and MEDIA RELEASE FORM
(For those under 18 years old)
I understand and acknowledge that participation in any activity can be hazardous and I realize that no one should enter into a recreational activity unless the participant is physically and medically able to do so. As the participant's parent/guardian, I assume all risk associated with this activity including, but not limited to: falls, contact with other participants and/or equipment, effects of weather, equipment failure and/or condition of activity area. I fully understand that it is my responsibility to ascertain if this specific activity contains other elements of risk that could prove harmful to the participant.
Having read this waiver and in consideration of acceptance into the program, I and anyone entitled to act on my behalf do hereby release, hold harmless, and agree to indemnify Decatur Community Players, its directors, officers, agents, contractors, employees, and volunteers, from and against any and all damages, or claims of damage to persons or property arising out of or related in any manner to the participant's activities.
Furthermore:
1. I certify that the participant does not have any medical conditions that would prevent participation in this program.
2. In case of serious emergency or illness, when the emergency contact/parent cannot be reached immediately, I hereby authorize the provider to obtain emergency medical care.
3. Media Release: I grant permission to use the participant's name, quoted material, and any photograph/ videography of the participant for the purposes of archival documentation and present/future Decatur Community Players publicity materials including newspapers, magazines, and Internet applications without compensation or consideration.
