I give permission for my son / daugther (as indicted below) to participate in the upcoming short-term trip with Changing a Generation. In permitting my child to participate I agree to the following:

I for myself, and on behalf of my estate, heirs, executors, and administrators do hereby release from responsibility and forever waive any right I have for any action or any claim of any sort, including but not limited to: any personal injury, property damage, or wrongful death, whether known or unknown, against Changing a Generation or any of its board members, full and part time workers, agents, missionary partners, or volunteers (collectively referred to as “Releasees”) that might occur as part of participation in this project.

I further indemnify and hold harmless the Releasees from any claim or litigation for compensatory or punitive damages, included but not limited to: judgments, assessments, and/or attorneys’ fees arising out of participation in the trip.

I understand this Agreement is continuing in nature. I agree to it knowingly and voluntarily, and without duress or undue influence.

I give Changing a Generation and any person acting under its authority permission to publish, distribute, broadcast, license, copyright, promote, and sell any form of visual, print, or audio recording of my participation, including application of any visual or auditory special effects. I release any claims of copyright or ownership, and agree that these materials may be duplicated or distributed with or without compensation or liability, in perpetuity.

I understand that Changing a Generation is obtaining this release and assignment of copyright in order to conform to U.S. copyright laws and international copyright treaties and conventions.

I authorize an adult, in whose care the minor has been entrusted to consent to any x-ray examination; anesthetic: medical, surgical or dental diagnosis or treatment; and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.

The undersigned shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.

Should it be necessary for my child to return home due to medical reasons, disciplinary action, or otherwise, the undersigned shall assume all transportation costs.

Furthermore, I hereby assume all risk of personal injury, sickness, death, damage, and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agree to hold harmless and indemnify said non-profit organization, its directors, board members, full and part time employees, and agents, for any liability sustained by said organization as the result of the negligent, willful or intentional, acts of said participant, including expense incurred attendant thereto.

The undersigned does also hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by Changing a Generation.

IN WITNESS WHEREOF, the undersigned hereby executes this Agreement on the date set forth below: