NAME OF SCHOOL: ___________________________ TEACHER:___________________________________

 

The undersigned, as the parent or legal guardian for a youth participant under the age of 18, understands and acknowledges the risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault, and do hereby authorize my child’s participation in the 2017 “FUSD’s Got Talent!” Show.

In consideration of my child’s application to participate in Fremont Unified Student Store (FUSS) sponsored activities and/or events, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for the death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to my child including his/her traveling to and from the activities and/or events, the following entities or persons: Fremont Unified Student Store (FUSS) and Fremont Unified School District (FUSD) and/or their directors, staff, officers, employees, volunteers, representatives, agents, the activity or event holders, activity or event sponsors, and activity or event volunteers;

(B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in the activities and/or events, whether caused by the negligence of release or otherwise.

I acknowledge that Fremont Unified Student Store (FUSS) and Fremont Unified School District (FUSD), and their directors, staff, officers, employees, volunteers, representatives, agents, the activity or event holders, activity or event sponsors, activity or event volunteers are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific event and/or activity sponsored by Fremont Unified Student Store (FUSS).

I hereby give consent for my child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity or event.

I understand that at the events and/or activities, my child may be photographed. I agree to allow my child’s photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns.

The Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

Participant’s Name Parent/Guardian Name Parent/Guardian Signature