Waiver and Release Form for Kids Camp

Waiver and Release Form for Kids Camp

Liability Release and Parental Consent Form

In consideration of the acceptance of my application for the above program, I hereby waive, release, and discharge any and all claims from any and all claims, including claims of the Alliance Francaise of San Francisco’s negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic loss or emotional loss my child may suffer because of their participation in this Camp, including travel to, from and during the Camp.

I am aware of the risks associated with traveling to/from and my child’s participation in this Camp, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or outcomes may arise from my child’s or other’s actions, inaction, or negligence; conditions related to travel; or the condition of the Camp location(s) or facilities. Nonetheless, I assume all related risks, both known or unknown to me, of my child’s participation in this Camp, including travel to, from and during the Camp.

This release is intended to discharge in advance Alliance Francaise of San Francisco, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above.

I agree to hold the Alliance Francaise of San Francisco harmless from any and all claims, including attorney’s fees or damage to my personal property, which may occur as a result of my child’s participation in this Camp, including travel to, from and during the Camp. If the Alliance Francaise of san Francisco incurs any of these types of expenses, I agree to reimburse the Alliance Francaise of san Francisco. If my child needs medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.

I understand that this document is written to be as broad and inclusive as legally permitted by the State of California.

I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.

I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.

I am the parent or legal guardian of the Participant. I understand the legal consequences of signing this document, including

(a) releasing the Alliance Francaise of San Francisco from all liability on my and the Participant’s behalf,

(b) promising not to sue the Alliance Francaise of San Francisco on my and the Participant’s behalf,

(c) and assuming all risks of the Participant’s participation in this Activity, including travel to, from and during the Activity. I allow Participant to participate in this Activity. I understand that I am responsible for the obligations and acts of Participant as described in this document. I agree to be bound by the terms of this document.

 

Parental Consent (Complete if applicant is under 18)

I give consent for my child _______________________________ to participate in the above activities, and I execute the above liability release on their behalf.

Consent for Treatment

I hereby give my consent to have the above applicant treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the above activity. I have read and understood the foregoing registration liability release and parental consent form, and agree to all of its terms and conditions.

 

________________________________ ______________________ ____________

Parent/Guardian Signature                          Print Name                              Date

 

 

 

Waiver and Release Form for Summer Camp

Photo Release Form  for Minor Children

Undersigned acknowledge and agree that the owner of the Alliance Francaise of san Francisco, and any third party authorized by such owner, shall have the right to film, videotape, photograph, record Undersigned’s voice and make any reproductions of Undersigned’s physical likeness and voice, and shall have irrevocable right in perpetuity to use, display, and digitally enhance or alter in any manner, such likeness in any media now known or hereafter devised, including, but not limited to, the exhibition and/or online use, broadcast, theatrically or on television, cable or radio, any motion picture film, video tape, DVD, CD or any Internet service or Internet application (including, but not limited to, social media such as Facebook, YouTube, Instagram, and SnapChat) in which such likeness may be used or otherwise, or any published articles, catalogs, or websites in which such likeness may be printed, used or incorporated, and in the advertising, exploiting and publicizing the Alliance Francaise of san Francisco, camp products, licensed products, and all affiliated relationships (including, but not limited to, social media owned and maintained by the Alliance Francaise of san Francisco such as Facebook, YouTube, Instagram, and SnapChat).

I release Alliance Francaise of san Francisco, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.

I release Alliance Francaise of san Francisco from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize Alliance Francaise of san Francisco to use their photographs, voice, video and names.

Name _________________________________

Street Address: ________________________________________________________

City, State, Zip: _______________________________________________________

Relationship with the child/children _______________________

Signature: ________________________________ Date: ______________

Names and Ages of Minor Children:

Name: ______________________________________ Age: _____

Name: ______________________________________ Age: _____

Name: ______________________________________ Age: _____