Field Trip Waiver of Liability / Hold Harmless Agreement

NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN

    

READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF SUNSHINE GAMEDAY INCORPORATED USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM SUNSHINE GAMEDAY INCORPORATED IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND SUNSHINE GAMEDAY INCORPORATED HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

I, the undersigned participant, am requesting participation in a SUNSHINE GAMEDAY INCORPORATED trip that begins on and ends on all of which are hereinafter referred to as “THE ACTIVITY”.

In consideration of my participation in the activity, I hereby waive all claims or causes of action against the SUNSHINE GAMEDAY INCORPORATED and the officers, directors, employees and agents arising out of my participation in the activity and hereby release, hold harmless, and discharge SUNSHINE GAMEDAY INCORPORATED and its officers, directors, employees and agents from all liability in connection therewith.

 

Knowing, understanding, and fully appreciating all possible risks, I hereby expressly, voluntarily, and willingly assume all risks and dangers associated with my participation in this activity.  Some of the risks and dangers are listed below.  I understand this list is not exhaustive.  Common risks include: Travel to and from home and activity meeting location, overnight stay, food poisoning, theft, car accident, pedestrian accident, tripping, slipping, falling, etc.

 

Sunshine Game Day Incorporated has my permission to use my or my child’s photograph publically to promote the organization’s mission. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

 

I have read this waiver/release and understand the terms used in it and their legal significance.  This waiver and release is freely and voluntarily given with the understanding that the right to legal recourse against the SUNSHINE GAMEDAY is, knowingly, given up in return for allowing my participation in the activity.  My signature on this document is intended to bind not only myself but also my successors, heirs, representatives, administrators, and assignees.

 

Child’s Name

Parent or Guardian’s Name

Address (Street/City/State/Zip)

Parent or Guardian Phone Number

Child Phone Number (if available)

Emergency Contact

Emergency Contact Phone Number

 

Do you have any medical condition(s) and/or allergies that SUNSHINE GAMEDAY INCORPORATED should be aware of?

 

 

Parent or Guardian Signature

Parent or Guardian Name

Parent or Guardian’s Email