Marion County Parks & Recreation

MARION COUNTY PARKS & RECREATION

ACTIVITY REGISTRATION TERMS

RELEASE, WAIVER AND INDEMNIFICATION FOR PARTICIPATION; MEDICAL AUTHORIZATION; MEDIA RELEASE.

            In consideration of Marion County allowing me or my child to participate in the program or activity, I, for myself, my heirs, and personal representatives, and for my child and the heirs and personal representatives of my child, hereby assume for myself and for said child, all liabilities, risks, injuries and hazards incidental to participation in the said activity in which I or said child participates, including transportation to or from said activity.  This waiver is on behalf of my child or me.  I represent that I am the natural parent or legal guardian of such child and have full lawful authority to execute this release, waiver, and indemnification on behalf of said child, binding myself and said child and my and the child’s heirs and personal representatives to the undertaking herein set forth.  I acknowledge the fact that this program or activity may/or does involve physical contact or other conditions where injuries may occur.  I do hereby waive, release, and agree to hold harmless Marion County, its officers, agents, and employees; the organizers, sponsors, activities supervisors, cosponsoring organizations, and participants for and from any claim, demand, liability, costs, suits, charges, or compensation for loss or injury of any kind arising out of a loss or injury, including losses or injury arising from the negligence of  Marion County, its agents, employees, sponsors, or activities supervisors, arising from my or my child’s participation in or presence at said activity.  I hereby assume for myself and my child, if the child is participating in the activity, all risk of injury, liability, and loss arising from my or my child’s participation in or presence at said activity, I acknowledge that Marion County will not assume any costs relating to any injury while I or my child is involved in this activity.

I further acknowledge that I have taken into consideration my (or my minor child’s) physical condition, fitness and training, safety concerns and associated risks in determining that participation in this program is appropriate for me or my child and have disclosed or will disclose prior to the activity any limitations that might affect my or my child’s safe participation in this program on the program registration form.  I understand that Marion County is not aware of or responsible for evaluating my fitness for participation and I am solely responsible for the decision to participate in this regard.  In the event of injury to me (or to my minor child), if a legally authorized contact cannot be reached, I authorize County representatives to use their discretion to have me or my minor child transported to a medical facility and further authorize a qualified and licensed physician to render such treatment as would be customary under such circumstances.  I take full responsibility for this action and agree to pay any expense incurred for this transport and treatment.

            This waiver, release, and indemnification is in consideration of Marion County or activity sponsor permitting my or my child’s participation in the said activity or program and in further consideration of Marion County not requiring self-funded liability insurance coverage as a condition precedent to me or my child’s participation in the activity.  I freely and voluntarily assume for myself or for the said child all risk of loss or injury arising from my or my child’s participation in the activity whether due to my or my child’s negligence or the negligence of others.  I acknowledge that, absent this release and indemnification, Marion County or other sponsors of this activity would not have offered me or my child access to the activity because of unacceptable exposure to liability claims or the expense of providing a program that is risk free.

             I hereby give Marion County permission to take and use print or video images of myself or my child. This publicity may include publication of the images in newspapers, brochures, magazines, websites, displays, or any other form(s) of publicity for Marion County. I waive inspecting and/or approving any finished product. I understand there is no monetary compensation for use of these images. I understand if I do not want my child to be photographed or filmed, I must go to the Marion County Administration office of the organization offering the program and complete paperwork indicating any and all programs in which my child participates and that I do not want him or her photographed or filmed.

             I have read and understand this release, waiver, and indemnification and agree to it freely and knowingly, intending that it shall be fully operative and effective in all respects and that it waives legal rights to which I and my child might otherwise be entitled if I or my child is hurt or suffers loss during my or my child’s participation in the activity.

YOU MUST CAREFULLY READ THIS DOCUMENT BEFORE AGREEING TO IT.  YOU ARE WAIVING OR RELEASING VALUABLE LEGAL RIGHTS.  YOU ARE ADVISED TO SEEK THE ADVICE OF AN ATTORNEY IF YOU DO NOT FULLY UNDERSTAND THIS DOCUMENT.

The contact will be automatically added to the class as a registrant if someone drops out from a full class.