STEM·E YOUTH CAREER DEVELOPMENT

PROGRAM EVENT WAIVER

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NOTE: PLEASE READ THE FOLLOWING INFORMATION CAREFULLY. EVERY ITEM ON THIS PAGE MUST BE UNDERSTOOD BEFORE EVENT REGISTRATION. IF THERE ARE ANY QUESTIONS, PLEASE CALL THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM FOR CLARIFICATION.

I CERTIFY THAT I AM THE PARENT OR LEGAL GUARDIAN OF THE ABOVE-NAMED CHILD APPLICANT. I UNDERSTAND THAT MY CHILD WILL BE PARTICIPATING IN VARIOUS ACTIVITIES AS PART OF THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM. ALL ACTIVITIES ARE SUPERVISED BY EMPLOYEES AND STAFF, AND THE SAFETY OF THE CHILD IS ALWAYS PARAMOUNT.

I HAVE READ, REVIEWED, AND COMPLETED ALL THE REQUIREMENTS FOR THIS WAIVER. I AGREE TO HAVE MY CHILD PARTICIPATE IN THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM AND ITS EVENTS.

I UNDERSTAND THAT AS A CONDITION OF AN APPLICANT ATTENDING THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM, THE PROGRAM MAY USE MY CHILD'S NAME, PHOTOGRAPHS, OTHER REPRODUCTION(S) AND LIKENESSES IN CONNECTION WITH ACTIVITIES AND PUBLICATION'S OF THE PROGRAM. THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM RESPECTS THE PRIVACY OF ITS PARTICIPANTS AND THEIR FAMILIES.

I UNDERSTAND THAT ALL ATTENDEES MAY ROUTINELY PARTICIPATE AND AS COMMON PRACTICE AT THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM, ALL ACTIVITIES AFFORDED TO THE ATTENDEES ARE OPTIONAL. IN ORDER TO PROVIDE THESE PROGRAMS, NO LIABILITY CAN BE ACCEPTED BY THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM, OR ANY OF THE ORGANIZATIONS OR PERSONS CONNECTED WITH THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM.

I DO HEREBY ASSUME FULL RESPONSIBILITY FOR ANY AND ALL DAMAGES, INJURIES OR LOSSES THAT MY CHILD MAY SUSTAIN OR INCUR, IF ANY, WHILE ATTENDING, PRACTICING, PARTICIPATING OR WITNESSING IN ANY PROGRAM OR PHYSICAL ACTIVITY OCCURRING WHILE PARTICIPATING AS PART OF THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM AT ANY PROGRAM LOCATION. I HEREBY ASSUME FULL RISK, WAIVE & DISCHARGE ALL CLAIMS AND RELEASE AND HOLD THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM, ITS INSTRUCTORS, EMPLOYEES, OFFICERS, DIRECTORS, VOLUNTEERS, OR PARTNERS OF SAID PROGRAM OR EVENT, INDIVIDUALLY OR OTHERWISE, HARMLESS FOR ANY AND ALL CLAIMS FOR INJURIES OR DAMAGES.

I AM FULLY AWARE AND UNDERSTAND THAT THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM DOES NOT HAVE, EMPLOY, OR CONTRACT ANY MEDICAL SERVICES OR PROVISIONS FOR ORDINARY OR EMERGENCY MEDICAL SERVICES. I ASSUME FULL FINANCIAL RESPONSIBILITY FOR ANY AND ALL MEDICAL AND OTHER EXPENSES INCURRED FOR OR ON BEHALF OF THE APPLICANT WHILE AT THE EVENT, ON OR OFF THE EVENT SITE. I AUTHORIZE INDIVIDUALS(S) LISTED AS "EMERGENCY CONTACTS" TO PICK UP MY CHILD FROM EVENT FACILITIES.

I MUST GIVE UP ANY RIGHTS TO HOLD THE PROGRAM LIABLE FOR ANY INJURY OR DAMAGE, WHICH THE APPLICANT MAY SUFFER WHILE ATTENDING OR PARTICIPATING IN THE ACTIVITIES OFFERED AT THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM. I VOLUNTARILY RELEASE THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM, ITS OFFICERS, AGENTS, AND EMPLOYEES FROM ANY AND ALL LIABILITY RESULTING FROM OR ARISING OUT OF THE APPLICANT ATTENDING THE OR PARTICIPATING IN THE ACTIVITIES OFFERED BY THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM. I UNDERSTAND AND AGREE THAT THIS RELEASE WILL HAVE THE EFFECT OF RELEASING, DISCHARGING, WAIVING AND FOREVER RELINQUISHING ANY AND ALL ACTIONS OR CAUSES OF ACTION THAT I MAY HAVE OR HAVE HAD, WHETHER PAST, PRESENT OR FUTURE, WHETHER KNOWN, OR UNKNOWN, AND WHETHER ANTICIPATED OR UNANTICIPATED BY ME, ARISING OUT OF THE APPLICANT ATTENDING THE AND/OR PARTICIPATING IN THE ACTIVITIES OFFERED BY THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM.

I, AS PARENT(S) OR GUARDIANS(S), IN CONSIDERATION OF MY CHILD'S PARTICIPATION IN THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM AND THE USE OF EVENT FACILITIES, HEREBY RELEASE, DEFEND HOLD HARMLESS, INDEMNIFY, AND COVENANT NOT TO SUE THE PROGRAM, ITS DIRECTORS, OFFICERS, EMPLOYEES, REPRESENTATIVES, AGENTS, SUCCESSORS AND ASSIGNS, AND VOLUNTEERS FROM ANY AND ALL CLAIMS, LIABILITY, LOSS, COSTS, DEMANDS, AND DAMAGES OF EVERY KIND AND NATURE WHATSOEVER, INCLUDING BUT NOT LIMITED TO REASONABLE ATTORNEYS' FEES, WHICH ANY THIRD PARTY, THE UNDERSIGNED OR SAID CHILD MAY NOW OR IN THE FUTURE HAVE AGAINST THE PROGRAM, ITS OFFICERS, DIRECTORS, TRUSTEES, AGENTS, EMPLOYEES, INSTRUCTORS, VOLUNTEERS, REPRESENTATIVES, SUCCESSORS AND ASSIGNS, RESULTING FROM ANY ACCIDENT, DAMAGE, INJURY, ILLNESS, PHYSICAL OR MENTAL CONDITIONS, KNOWN OR UNKNOWN, TO THE UNDERSIGNED OR SAID CHILD, THAT MAY OCCUR TO MY CHILD WHILE PARTICIPATING IN ANY PROGRAM OR EVENT SPONSORED BY THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM. THIS RELEASE CONSTITUTES A COMPLETE RELEASE, DISCHARGE AND WAIVER OF ANY AND ALL ACTIONS OR CAUSE OF ACTION AGAINST THE STEM·E YOUTH CAREER DEVELOPMENT PROGRAM, IT'S OFFICERS, AGENTS, OR EMPLOYEES.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE RELEASE/WAIVER AND FULLY UNDERSTAND THAT I HAVE GIVEN UP RIGHTS BY REGISTERING AND ACCEPTING THIS WAIVER VOLUNTARILY. BY REGISTERING BELOW, I, THE PARENT OR LEGAL GUARDIAN OF THE CHILD APPLICANT, CERTIFY ALL INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I ALSO UNDERSTAND THAT MY TYPED NAME AND/OR EVENT REGISTRATION WILL SERVE AS A LEGAL SIGNATURE THAT I HAVE READ, FULLY UNDERSTAND, AND ACCEPT THE RELEASE/WAIVER STIPULATIONS.

 

 

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