"Saturday Game Night" Youth Events Registration & Liability Waver Form- Eatonville Family Agency

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The child listed below has permission to participate in the Eatonville Family Agency's Adventure Youth Events. All participants, parents, and guardians of participants attending these events incidental acknowledge and agree to the following terms:

1. I understand that I, or where applicable, my minor child, will be solely responsible for the actions, conduct and safety of the participant during the activity, including following all rules, regulations, and instructions.
2. I understand that there are certain risks inherent in participation in the Event and the activities incidental or related thereto.
3. I knowingly and voluntarily assume the risk of injury, illness, or other harm due to any act, event, or omission related to my participation.
4. I understand that participation of the participant is entirely voluntary.
5. I release, discharge, covenant not to sue, indemnify, hold harmless, and absolve the (sponsor) from and against any and all injuries, property damage, or any loss, damages, or expenses by or behalf of the participant arising from or in any manner related to all Eatonville Family Agency's Youth Events in 2025-2026 school year.

6. I understand and agree to images and video taken during the event to be used by Eatonville Family Agency for the advertising and building up of its programs, and use in acquiring program funding.
7. If signing on behalf of a minor child, I understand that I am waiving and releasing any right of the minor child and any right that any parent or guardian might have to sue or make claim against the (sponsors) for any act or omission, event, or injury to the minor child that they might sustain during the course of or arising out of the Eatonville Family Agency's Youth Events in 2025-26 school year. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS AGREEMENT INCLUDES A WAIVER OR LIABILITY AND RELEASE, AN ASSUMPTION OF RISK, AND AN AGREEMENT BY ME TO IDENMIFY THE RELEASES AND I SIGN IT OF MY OWN FREE WILL.

*Students younger than 6th grade by special approval only and under parental supervision

Email *

Participant First & Last Name: *

Participant Grade *

Parent First & Last Name: *

Parent Phone Number: *

Participant Pickup Information *

Walk home

Pick up

If Pick up option chosen: First and Last Name(s) of approved person(s) to pickup. ID required for participants safety.

Parent Initials as signature of Liability Waver: *

Date: *

YYYY

Send me a copy of my responses.

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