Steel City Codes McKnight Chapter Signup
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Parent, Emergency Contact, and Medical Information
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Steel City Codes Waiver & Release Form
CONSIDERATION: I acknowledge the personal benefits accruing to my child by reason of participation in Steel City Codes and am aware of the activities which my child will be involved through said participation.

RELEASE/INDEMNIFICATION: I hereby, in consideration of such benefits and other good and valuable consideration received, consent to the above listed participation and release absolutely, forever discharge, hold harmless and covenant not to sue Steel City Codes, and the chapter location, its directors, agents, volunteers, and affiliates ("Steel City Codes") from any and all present or future liability, claims, demands, actions or rights of action, whether asserted by me or a third party arising out of my child's participation in the event activities (the "Claims"). I agree to indemnify and hold harmless Steel City Codes and the chapter location for any such Claims brought by me or a third party from any costs associated with defending or litigating such claims, including but not limited to attorney fees, costs and legal expenses.

ASSUMPTION OF RISK: I am aware of the risks associated with participation in the above event and do hereby voluntarily assume full responsibility for any risk of loss, property damage or personal injury, including death, that may result from participation in event activities.

MEDICAL EMERGENCY: I hereby agree to hold Steel City Codes and its representatives harmless for exercising its judgment in authorizing emergency medical treatment and said representatives are specifically authorized to sign any required emergency hospital treatment form(s) on my behalf. In addition, I assume the risk and financial responsibility for any injury resulting from the attendee's participation in all chapter events.

TECHNOLOGY CAMP AUTHORIZATION ADDENDUM: I acknowledge that during my child's participation in Steel City Codes that certain risks do exist. These include, but are not limited to, the hazards of outdoor and indoor physical activities, and risks associated with access to the Internet (viruses/malware). In consideration of this acknowledgement, I voluntarily have and do hereby, assume all risk associated with my child's participation in these programs.

UNDERSTANDING: I represent and acknowledge that I have completely read and understand this document and all its terms and all matters referred to herein, and I signed voluntarily as my free act and deed and that, by signing this document, I understand that I am relinquishing legal rights and remedies that may have otherwise been available to me. I understand that this Waiver and Release shall be construed as broadly and inclusively as is permitted by applicable law and agree that if any portion of this document is held invalid, the remaining shall continue in full force and effect.

MEDIA CONSENT: I give my consent and permission for the taking of photographs and/or video of my child during the described event and waive and/or assign any and all rights (including copyright) in such media to Steel City Codes. Steel City Codes, as the sole owner of such media, shall have exclusive rights to control and determine the use, display, performance, reproduction and dissemination of any such photographs and/or videos.
Confirmation *
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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