I (Parent/Guardian) give my son/daughter permission to participate in this  program and agree to all responsibilities in case of accident. For me and for the child, the undersigned agrees and understands that participation in Loon Echo Land Trust and partner activities and hereby release, indemnify, forever.

Loon Echo Land Trust, along with partnering agencies, their representatives, agents, affiliates, officers, directors, servants, employees, successors, and assigns from all liability for any injuries, damages, claims or actions in law or inequity, and from all claims by me, my child, my child’s estate, my family, heirs, and assigns arising in any way, directly or indirectly, from my child’s participation in Loon Echo Land Trust and partner programs. The undersigned authorizes Loon Echo Land Trust, its partners, its agents, or any independent contractors working or volunteering on its behalf to call for any medical care that they deem appropriate or necessary for the participant during the course of the program.

 I further authorize any medical personnel to administer any required emergency medical treatment in the event that a parent or guardian cannot be reached by telephone numbers provided on this form. Loon Echo Land Trust and partners reserve the right to refuse services to the child if the administration deems necessary for the safety of my child and other program participants, or staff. I have carefully read the following release language and completely understand its content.