LIABILITY RELEASE: In consideration of ICCP allowing the Participant to participate in these ICCP children/youth programs, I, the undersigned, do hereby release, forever discharge and agree to hold harmless ICCP, its administrators, directors, employees, volunteers and teachers (collectively herein the “ICCP”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the Participant while involved in the children/youth activities and childcare. Furthermore, I, on behalf of my minor Participant, hereby assume all risk of accidental personal injury, sickness, death or damage as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify ICCP for any liability sustained by ICCP as the result of the negligent, willful or intentional acts of the Participant, including financial loses. Initials:
MEDICAL TREATMENT PERMISSION: I authorize an adult, in whose care the minor has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital or emergency care facility. The undersigned shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child or youth pursuant to this authorization. Initials:. :
PHOTO RELEASE: I grant permission to ICCP to use and re-use, publish and re-publish, and modify or alter the Image(s) taken during the activities at ICCP. Initials: :
