Date: Friday, May 19, 2017
The undersigned recognizes, as with any activity, there is risk of injury. In the event that the volunteer sustains an injury in the course of the program, and the City of Bloomington Parks and Recreation Department is unable to contact the appropriate person(s) to obtain consent for treatment, the City of Bloomington Parks and Recreation Department and/or its employees are authorized to take reasonable steps to obtain appropriate medical treatment. The volunteer and/or his/her parent or legal guardian shall be responsible for the cost of such treatment.
The Undersigned now releases the City of Bloomington, the Bloomington Parks and Recreation Department, its employees, agents, and assigns, from any claims including, but not limited to, personal injuries or damage to property caused by or having any relation to this activity. It is understood that this release applies to any present or future injuries and that it binds the Undersigned, Undersigned’s spouse, heirs, executors and administrators.
The volunteer may be photographed and videotaped while participating in Parks and Recreation activities, and consent is given for the reproduction of such photos or videos for advertising and publicity.
I have read this release and understand all of its terms. I agree with its terms and sign it voluntarily.