Please read this form carefully and be aware in registering your minor child/ward for participation in the program or programs listed above you will be waiving and releasing all claims for injuries you or your minor child/ward might sustain arising from that program.

Girls Incorporated of the Central Coast is committed to conducting its programs and activities in the safest manner possible and holds the safety of participants in the highest possible regard. Participants and parents registering their children in programs and activities must recognize, however, that there is an inherent risk of injury when choosing to participate. Girls Incorporated of the Central Coast strives to reduce such risks and insists that all participants follow Covid-19 guidelines, safety rules, and instructions which have been designed to protect the participant's safety. Your cooperation is greatly appreciated.

Acknowledgement:

I recognize and acknowledge that there are inherent risks of serious injury or illness associated with the above trip or activity which you should be aware of prior to signing this form and granting permission for your child to participate. If you have any questions regarding the specific risks associated with the extracurricular activity noted above, please speak to a Girls Inc. representative prior to signing this form.

I hereby waive all claims against Girls Inc. of the Central Coast, its employees, officers, agents and volunteers, for injury, accident, illness, contracting Covid-19, or death occurring during or by reason of the above-mentioned extracurricular activity. I also assume all liability for the conduct of my child and agree to indemnify Girls Inc. of the Central Coast for any claims arising against it resulting from my child’s conduct.

Should it be necessary for my child to have emergency medical treatment while participating in this extracurricular activity, I hereby authorize Girls Inc. of the Central Coast staff and volunteers to use their judgment in obtaining emergency medical services, including x-ray, examination, anesthetic, medical, surgical or dental diagnoses or treatment and hospital care, for my child. I further authorize any duly qualified individual selected by Girls Inc. of the Central Coast personnel to render such emergency medical treatment to my child as s/he may deem necessary and appropriate. I understand that Girls Inc. of the Central Coast does not have insurance which pays the medical or hospital costs that might be incurred on behalf of my child.

I also give permission for photographs, videos or audio file taken of me/my child/ward while participating in Girls Inc. programming to be used in marketing/public relations material in the promotion of Girls Inc. of the Central Coast.

By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true to the best of your knowledge and that you provide permission for your daughter to participate in the Girls Inc. of the Central Coast sessions. You also acknowledge that you have read, understand and agree to the terms outlined above.