Parental Release Agreement

PARENTAL RELEASE AGREEMENT

This Parental Release Agreement is made between Parent/Guardian Name: , residing at (hereinafter "Parent") and Releasee Name: , located at (hereinafter "Releasee"). This Agreement is entered into on the date: .

Child/Participant Name: , Date of Birth: .

RECITALS

WHEREAS, Parent is the lawful parent and/or legal guardian of the Child identified above and has authority to execute releases and consents on behalf of the Child; and

WHEREAS, Releasee will be conducting or supervising the following activity: to be held at: on the dates beginning and ending .

WHEREAS, Parent desires to permit the Child to participate in the activity and to release Releasee from certain liabilities arising from the Child's participation, subject to the terms and conditions set forth below.

NOW, THEREFORE

In consideration of the mutual covenants and promises contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. GRANT OF PERMISSION AND RELEASE

Parent hereby grants permission for the Child to participate in the activity described above and, on behalf of the Child and Parent, releases, waives, and forever discharges Releasee and its officers, directors, employees, volunteers, agents, and affiliates (collectively "Released Parties") from any and all claims, demands, causes of action, liabilities, damages, costs or expenses, whether known or unknown, arising out of or related to the Child's participation in the activity, including but not limited to claims for personal injury, death, property damage, or other loss, except to the extent caused by the gross negligence or willful misconduct of the Released Parties.

2. SCOPE OF AUTHORIZATION

This authorization and release applies to all activities, travel, field trips, and ancillary events organized or supervised by Releasee in connection with the activity, including transportation provided by Releasee or its agents. Parent understands that participation may involve inherent risks and assumes all such risks on behalf of the Child.

3. MEDICAL AUTHORIZATION

Parent authorizes Releasee to obtain emergency medical treatment for the Child if, in Releasee's reasonable judgment, such treatment is necessary. Parent agrees to be responsible for all costs associated with such treatment. Emergency Contact Name: , Phone: .

Child's Primary Physician: , Phone: . Health Insurance Provider: , Policy/ID Number: .

4. PHOTOGRAPHY AND MEDIA RELEASE

Parent hereby grants Releasee the right to photograph, record, and use images, video, or audio recordings of the Child in connection with the activity for promotional, educational, or archival purposes. Consent to media usage: I consent to the use of images and recordings of the Child by Releasee. If Parent does not consent, do not check the box.

5. INDEMNIFICATION

Parent agrees to indemnify, defend, and hold harmless the Released Parties from and against any and all claims, liabilities, losses, damages, costs and expenses, including reasonable attorneys' fees, arising out of or in connection with the Child's participation in the activity, except for claims arising from the gross negligence or willful misconduct of the Released Parties.

6. REPRESENTATIONS AND WARRANTIES

Parent represents and warrants that Parent has the legal authority to execute this Agreement on behalf of the Child and that no other person or entity's consent is required. Parent further represents that the Child is medically and physically able to participate in the activity and has disclosed all relevant medical conditions, allergies, or limitations to Releasee. Medical or other special needs:

7. TERM; TERMINATION

This Agreement is effective as of the date first written above and remains in effect for the duration of the activity and any related travel and events unless earlier terminated in writing by mutual agreement of the parties or by Releasee for cause.

8. NOTICES

9. AMENDMENT; WAIVER

No amendment or modification of this Agreement will be effective unless in writing and signed by both parties. No failure or delay by any party in exercising any right will operate as a waiver of such right.

10. GOVERNING LAW

This Agreement will be governed by and construed in accordance with the laws of the state of without regard to conflict of laws principles.

11. ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior or contemporaneous oral or written agreements, representations, or understandings relating to the Child's participation in the activity.

12. SEVERABILITY

If any provision of this Agreement is held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, the remaining provisions will remain in full force and effect and the invalid provision will be reformed to the minimum extent necessary to make it enforceable.

EXECUTION

This Agreement may be executed in counterparts, each of which will be deemed an original, and all of which together will constitute one and the same instrument. Signatures delivered by electronic means will be deemed original signatures for all purposes.

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