By my signature, and of my free will I assume all risks and hazards incidental to this program/event. I do further release, absolve, indemnify and hold harmless, now and for all time, YMCA of Austin, the sponsoring YMCA, the organizers, sponsors, supervisors, volunteers and their agents, board of directors, representatives or assignees (collectively “The Parties”). I hereby waive all claims, now and for all time, against the Parties, for any injury to myself/my child any loss due to theft of or damage to his/her personal property or for any other consequential or incidental damages caused in any manner whatsoever where any such liability is attributable to the absence of ordinary or even slight care by the program/event organizers and the conduct of this program/event. The YMCA is hereby granted permission to use any individual or group photographs and/or videotapes showing me/my child in YMCA activities for use in public relations, promotional or advertising purposes. The YMCA has my permission to transport me to, from, and during YMCA sponsored events/activities. In the event I cannot be reached or unable to make arrangements for emergency medical attention, I authorize the YMCA staff to take me to the nearest hospital/clinic for treatment or to the one listed elsewhere on this form.
I give consent for all necessary treatment for myself when in the care of this physician and/or hospital/clinic.