Minor Liability Waiver & Photo Release
Please submit this form to Wylde Center before the event.
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Please Enter the Name of Your Minor Here: *
Please Enter Phone Number(s) for Emergencies *
Does the minor have any relevant allergies that you would like to make us aware of?
Release of Liability
I, the parent or legal guardian the “minor”, hereby consent to and authorize the minor to act as a volunteer for Wylde Center. I agree and understand that the minor must comply with any rules and regulations established by Wylde Center and that failure to do so may result in the minor’s immediate removal as a volunteer.  

I am aware of the nature of the activities to be performed as a volunteer and recognize that in performing volunteer tasks, a risk of harm or injury exists. I agree that all volunteer activities are to be performed by the minor at the minor’s risk, and I assume full responsibility therefore.  

On behalf of myself, the minor, and our respective heirs and personal representatives, I agree not to hold or attempt to hold Wylde Center, their population served, volunteers, or staff responsible for any injury, illness, or damage sustained or incurred by the minor, arising out of or in any way connected with the minor’s activities as a volunteer for Wylde Center.
Do you agree to the release of liability? *
Media Release
The Wylde Center may take and use photographs and/or video of my child for the purposes of newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, social networking sites, or any lawful purpose related to the operations of the Wylde Center. I hereby authorize the Wylde Center its successors and assigns and those acting with its permission and upon its authority to photograph, videotape, or otherwise record the likeness of my child for any legal purpose.
Do you agree to the media release? *
As the Parent/Legal Guardian of the minor, please type your name below to acknowledge that you have read and understand the terms of the Wylde Center's Release Form For Minors: *
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