PERSONAL RELEASE LIABILITY AGREEMENT

The undersigned acknowledges that this activity is a potentially dangerous activity involving RISK OF PERSONAL INJURY, DEATH AND PROPERTY DAMAGE. I expressly understand and agree that neither the Town of Oak Creek, CO, a municipal corporation, nor any of their officers, agents, volunteers, assistants, or employees shall be held responsible or made the subject of any claim seeking to assess damages or liability for or arising from personal injury or property damage or loss of any other sort to myself or other person in whose behalf this form is now signed as a result of actual or proposed participation in the above named program and I hereby agree to indemnify and hold the Town of Oak Creek, their officers, agents, volunteers, assistants, or employees harmless on account of any such claim.­­­­­­­­­­­­­­­­­

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I give permission for my child/charge (“child”) or children and/or myself to be transported in a motor vehicle driven by staff or volunteers of The Two of Oak Creek’s School aged child care program, and The Town of Oak Creek (TOC). 

I understand that all applicable laws regarding riding in a motor vehicle and directions provided by the driver and/or other adult volunteers must be followed.

I have read and understand that:

1.I and/or my children will be traveling in a motor vehicle driven by an TOC staff or volunteer and we are to wear our safety belts (or be buckled into a car seat); while traveling.

2.We are expected to respect each other, the vehicles we ride in, and the people we travel with during the trip;

3.We are to remain in our seats and not be disruptive to the driver of the vehicle.

4.Riding in a motor vehicle may result in personal injuries or death from wrecks, collisions or acts by riders, other drivers, or objects; and

5.We are not required to participate in TOC programming, but grant permission, despite the possible risks.

6.I recognize that by participating in this activity, as with any activity involving motor vehicle transportation, we may risk personal injury or permanent loss.

I hereby attest and verify that I have been advised of the potential risks, that I have full knowledge of the risks involved in this activity, and that I assume any expenses that may be incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses.

I hereby give permission for my child(ren)or myself to go on all scheduled trips AWAY FROM THE PREMISES of the program, in the company of a qualified adult, whether on foot or by vehicle, using Oak Creek Parks & Recreation provided transportation when needed. I also give my permission for my child(ren)or self  to be transported by a staff member in a licensed vehicle in the case of an emergency.