I, or my minor child (herein known as a one•n•ten Youth Participant), often accesses social, educational, and other services at the Youth Center/Satellite Group or while on a field trip to the park, downtown art museums or other public or private venues or spaces. In consideration of being allowed to participate, I hereby release the sponsoring organizations, the host organization and facility, their boards, officers, employees, and volunteers (herein known as one•n•ten Staff) from any and all liability, claims, demands, or course of action whatsoever arising out of relating to any loss, damage, or injury, including death, that may be sustained by me/my child, or any property belonging to me/my child, whether caused by the negligence of the one•n•ten Staff or otherwise while in, on , or upon the premises where the event(s) is being conducted.
To the best of my knowledge, I/my child is in good physical and mental condition and I am not aware of any physical or mental infirmity that would place me/my child at risk to participate in any way in one•n•ten activities. I voluntarily assume full responsibility for any risk of loss, property damage, or personal injury, including death, that may be sustained be me/my child, or any loss or damage to property owned by me/my child, as a result of being engaged in one•n•ten programs, whether caused by the negligence of the one•n•ten Staff or otherwise. I further hereby agree to indemnify and hold harmless the one•n•ten Staff from any loss, liability, damage or cost, including court costs and attorney's fees, that may accrue related related to me/my child's participation in one•n•ten programs, whether caused by the negligence of the one•n•ten Staff or otherwise. During the period of any participation of one•n•ten programs, I hereby give permission for the one•n•ten Staff to administer appropriate first aid and authorize any medical attention or emergency treatment deemed necessary for me/my child in the event of an accident, illness, or injury. I will be responsible for any and all costs of medical coverage and treatment provided not covered by personal insurance.
It is my express intent that this Waiver of Liability and Hold Harmless Agreement shall bind the member of my family and spouse/partner. If I am alive, and my heirs, assigns, and personal representative, if I am deceased, and shall be deemed as a release waiver, discharge and covenant not to sue the one•n•ten Staff or agency. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Arizona. In signing this release, I acknowledge and represent that I have carefully read this document and fully understand the contents, meaning and impact of the agreement; I sign this document freely and voluntarily without any inducement; I am at least 18 years of age and fully competent; and I execute this release for full, adequate, and complete consideration, fully intending to be bound by the same.