Basic Liability & Media Waiver
REQUIRED ASSUMPTION OF RISK, RELEASE, AND WAVIER OF LIABILITY AGREEMENT In consideration of the services provided by the Change Agent Partners, its board, employees, volunteers, participants, and all other persons or entities acting in any capacity on its behalf in conjunction with the 2020 Summer Leadership Program (“Event”), I hereby agree to release, hold harmless, and discharge Change Agent Partners, on behalf of myself, my children, my parents, my heirs, assigns, personal representatives and estate as follows:
1. I acknowledge that participation in the Event entails known and unanticipated risks, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated. I further certify that I am willing to assume the risk of any medical or physical condition the participant may have.
2. I expressly agree and promise to accept and assume all of the risks existing in this Event. Participation in this Event is purely voluntary, and participation is elected despite the risks. I hereby give my consent for any medical treatment that may be required, as determined by a medical professional at the medical facility, during participation in the Event, with the understanding that the cost of any such treatment will be solely my responsibility.
3. I hereby voluntarily release, waive, and forever discharge any and all claims of negligence against Change Agent Partners that relate in any way to any activity I or my child undertakes in conjunction with the Event, including transportation to and from the Event.
4. Should Change Agent Partners or anyone acting on its behalf, be required to incur attorney’s fees and costs to enforce this Agreement, I agree to indemnify and hold them harmless for all such fees and costs.
5. I understand that Change Agent Partners does not maintain an insurance policy that would provide coverage in the event of injury during the Event. I certify that I have adequate insurance to cover any injury while participating in the Event, or else I agree to bear the costs of such injury or damage myself.
6. I understand that Change Agent Partners may photograph, film, and/or record (“Medium”) participation in the Event. I authorize Change Agent Partners to use Medium and my likeness in conjunction with any Change Agent Partners marketing and/or promotional materials, including, but not limited to, social media accounts. I understand that will not be compensated for such use. You have permission to use the content.
In the event that I file a lawsuit against Change Agent Partners, I agree to do so solely in the State of California, and I further agree that the substantive law of California shall apply without regard to conflict of law rules. I agree that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. By signing this document, I expressly state that I have had sufficient opportunity to read this entire Agreement.
I further certify that I have read and understood it, and I agree to be bound by its terms. I further acknowledge that this document contains a negligence waiver and indemnification provisions.