Enriching Children with Homeschool Opportunities

ECHO Learning Cooperative Waiver

indicates a required answer

YOUTH WAIVER AND RELEASE OF LIABILITY

In consideration of being allowed to participate in any way in ECHO Learning Cooperative related events and activities, the undersigned:

 

1. Agree that the parent(s) and/or legal guardian(s) of the participant should inspect the

facilities and equipment to be used, and if the parent or guardian believes anything is

unsafe, he or she should immediately advise supervisor (advisor, manager, etc.) of

such condition(s) and refuse to participate.

 

2. Acknowledge and fully understand that each member/participant will be engaging in

activities that involve risk of serious injury, including permanent disability and death,

and severe social and economic losses which might result not only from their own

actions, inactions, or negligence but the action, inaction, and negligence of others, or

the condition of the premises or of any equipment used. Further, that there may be

other risks not known to us or not reasonably foreseeable at this time.

 

3. Assume all the foregoing risks and accept personal responsibility for the damages

following such injury, permanent disability or death.

4. Release, waive, discharge and covenant not to sue ECHO Learning Cooperative

its affiliated clubs, their respective administrators, directors, agents, and other employees

of the organization, other members/participants, sponsoring agencies, sponsors,

advertisers, and if applicable, owners and lessors or premises used to conduct the event,

all of which are hereinafter referred to as “releases,” from any and all liability to each of

the undersigned, his or her heirs and next of kin for any and all claims, demands, losses

or damages on account of injury, including death and damage to property, caused or

alleged to be caused in whole or in part by the negligence of the releases or otherwise.

 

I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN

UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.

1. *

Name Each Child Member/ Participant (Including infants):

2. *

Name of Parent/ Guardian:

3. *

Parent/ Guardian Relationship:

4. *

Signature of Parent/ Guardian:

By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
5. *

Address of Member/ Participant: 

6. *

Telephone number of Parent/ Guardian: 

7. *

Date Signed:

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