In consideration of my child’s participation in the [INSERT ACTIVITY] of the [INSERT CHAPTER/COUNCIL NAME] Chapter/Council of Trout Unlimited (“Activities”) the undersigned, parent or guardian of such child, voluntarily consent to my child’s participation in the Activities. The undersigned is fully aware of the fact that there are certain dangers and risks inherent in this activity, including, but not limited to, the risk of serious physical injury, death or other harmful consequences that may arise or result directly or indirectly arise from participation in the Activities.
The undersigned hereby voluntarily elects to permit the indicated child to participate in the Activities, assume all risks that may be associated with such Activities, and release and hold harmless Trout Unlimited and its officials, agents, officers, employees and volunteers of and from any and all liability, claims, demands, actions, and causes of action arising out of or related to any injury, including death, that may be sustained by our child or to any loss or damage to any property of our child while participating in the Activities.
The undersigned grants the above listed parties the right to use photographs of the Child, or which involve the Child and his/her participation in the project , and we release the above parties from any liability stemming from the use of any such photographs.
This release shall be binding upon the heirs and personal representative of the undersigned.
I further agree that my child will abide by the rules and directions given by Trout Unlimited during the Activities.
If any provision or portion of this Agreement is held to be unconstitutional, invalid or unenforceable, the remaining provisions shall remain in full force and effect.
I represent that I am the parent and/or legal guardian of such child; I agree to indemnify the released parties for any and all claims whatsoever brought as a result of participating in the Activities; and I agree to indemnify the released parties for any and all claims whatsoever brought by a third party arising out of the child’s conduct.
I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I MAY GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY WITHOUT INDUCEMENTS.
I HAVE READ AND UNDERSTAND THE ABOVE WAIVER AND RELEASE
Dated ______________________________, 20____.
__________________________________________ (Child’s Name)
__________________________________________ (Parent or Legal Guardian Name)
__________________________________________ (Signature of parent or legal guardian)
__________________________________________ (Signature of witness)