I/we, the undersigned, herby grant permission to participate in the above activity. I/We do hereby agree to release from any liability and otherwise hold harmless all personnel acting in their supervisory capacity for personal injury, property, or other type of loss which occurred as a result of this activity. I/We further authorize. the above mentioned chaperones to seek and arrange emergency medical care that may become necessary in my absence and I/We will assume financial responsibility for same. *