PARENT/GUARDIAN AUTHORIZATION & WAIVER OF LIABILITY Please be aware that in registering yourself and your minor child for participation in this summer camp program presented by GPCA, GPCC, ILCMC, Flossmoor Community Church (FCC) and its contracted artistic staff, you, for yourself and as the parent or legal guardian of the child named above, will be waiving and releasing all claims for injuries that you and your child might sustain arising out of or in connection with this program or its affiliates. I hereby give permission for my child to participate in the summer camp. I agree to assume the full risk of all injuries, damages, or losses regardless of severity which I or my child may sustain as result of participating in any activities connected or associated with any such programs and I waive and relinquish all claims I or my child may have against GPCA, GPCC, ILCMC, FCC and its staff, and volunteers as a result of participating in the activities in connection with summer camp. I, on behalf of my child, release, indemnify and hold harmless GPCA, GPCC, ILCMC, FCC and its staff, and volunteers from and against any and all liability, actions, debts, claims and demands of every kind whatsoever, specifically including, but not limited to, any claim for negligence or negligent acts or omissions and any present or future claim, loss or liability for any type of injury to person or property that my child may suffer, for which my child may be liable to any other person, or that may or does arise out of my child’s participation in the Event. Furthermore, I acknowledge that I have read and understand camp policies, and video/photo/media release forms, and agree to abide by them. I hereby grant the permissions stated therein. This RELEASE contains the entire agreement between the parties and the terms of this RELEASE are contractual and not a mere recital. I have been given ample opportunity to read this document and I understand and agree to all of its terms and conditions. I understand that I am giving up substantial rights (including my right to sue), and acknowledge that I am signing this document freely and voluntarily, and intend by my signature to provide a complete and unconditional release of all liability to the greatest extent allowed by law. My electronic signature on this document is intended to bind not only myself but also my successors, representatives. I agree to the above terms. *
