MANDATED REPORTING AGREEMENT AND RELEASE FROM LIABILITY
Mandated Reporting: I understand that all KYCC staff are mandated reporters by California Law, and as long as staff have reasonable suspicion that minors under the age of 18 have been victims of physical abuse, sexual abuse, emotional abuse or neglect, they are required to report these cases to the proper authorities.
I, the Undersigned, am the parent or guardian of the above-named child and wish to allow my minor child to participate in programs with the Koreatown Youth and Community Center (KYCC). I understand that my child will not be compensated for any time spent volunteering, nor are they entitled to benefits, including employment insurance benefits upon the termination of this agreement or as a result of this service. I am aware that my child’s participation may require periods of contact with community members and other participants, and other potential risk of injury and will require the exercise of reasonable care to avoid injury. I am voluntarily allowing my child to participate in this activity with knowledge of the hazards and potential dangers involved, and agree to accept any and all risks of personal injury to my child and property damage.
I hereby consent to the use of my child's work products, photos, videos, writing and other creative materials (e.g., volunteer-created projects and artwork) by KYCC . I also grant KYCC the right to edit, use, and reuse said products for nonprofit purposes, including but not limited to, use in print, on the internet, audiovisual presentations, promotional literature, advertising, community presentations, and all other forms of media, without financial compensation and in perpetuity. I also hereby release KYCC and its agents and employees from all claims, demands, and liabilities in connection with the above. I understand that said products may appear in electronic form on the Internet or in the public, and I agree that I will not hold KYCC responsible for any harm that may result. I am aware that any withdrawal of this consent must be submitted to KYCC staff in writing prior to any planned use.
As consideration for volunteering for Koreatown Youth and Community Center, I hereby agree that I, and my assignees, heirs, guardians, and legal representatives, will not make a claim against or sue Koreatown Youth and Community Center or its employees, agents or contractors for injury or damage resulting from the negligence, whether active or passive, or other acts, however caused, by any of its officers, employees, agents, or contractors of Koreatown Youth and Community Center as a result of my child volunteering. I HEREBY RELEASE AND DISCHARGE KOREATOWN YOUTH AND COMMUNITY CENTER AND ITS OFFICERS, EMPLOYEES, AGENTS AND CONTRACTORS FROM ALL ACTIONS, CLAIMS, OR DEMANDS THAT I, MY HEIRS, GUARDIANS, AND LEGAL REPRESENTATIVES NOW HAVE, OR MAY HAVE IN THE FUTURE, FOR INJURY OR DAMAGE RESULTING FROM MY CHILD'S PARTICIPATION IN THE PROJECT.
I UNDERSTAND THAT IF I AM INJURED IN THE COURSE OF THE PROJECT, I AM NOT COVERED BY KOREATOWN YOUTH AND COMMUNITY CENTER WORKERS’ COMPENSATION PROGRAM. I authorize Koreatown Youth and Community Center to seek emergency medical treatment on my behalf in case of injury, accident or illness to me arising from my involvement as a volunteer. I understand that I will be responsible for medical costs incurred by such accident, illness or injury.