I am the parent or legal guardian of the child identified above. Urban Initiatives, Inc. NFP operates youth development programs (“Programs) for students in the Chicago Public Schools. I grant permission for my child to participate in one or more of the Urban Initiatives 2025-26 School Year Programs.
My child is in good health and does not have any injury, illness, disease, or other medical condition that might prevent safe participation in the Program’s activities. I understand that COVID-19 is a highly contagious disease that can lead to severe illness and death. There is a risk that my child will contract or spread COVID-19 (or other contagious diseases) regardless of the precautions taken by me or the Programs. I accept the risk that my child might be exposed to, contract, or spread COVID-19 or other contagious diseases. I further understand that, even in the absence of negligence, participating in the Programs involves the risk of physical injury, including serious bodily injury (such as permanent disability, paralysis, and death), and other risks and dangers. I understand and voluntarily assume all such risks and dangers to which my child may be exposed by participating in the Programs.
I hereby release, discharge, and covenant not to sue Urban Initiatives, my child’s school, the Chicago Public Schools, and their respective volunteers, sponsors, partners, attorneys, officers, directors, agents, employees, and members (each of the foregoing a “Released Party”) from all liability, claims, causes of action, demands, losses, and damages that I or my child may have or that may hereafter accrue arising from participating in the Programs or alleged to be caused in whole or in part by any Released Party, even if arising or related to any Released Party’s negligence, to faulty equipment, or otherwise.
I acknowledge that I am responsible for my child’s health and safety and for the personal property that they bring. I am solely responsible for my child’s medical expenses and decisions with respect to their care. In the event of injury to my child, I authorize first aid and emergency aid treatment deemed necessary by Program personnel. I further authorize emergency responders and medical personnel to perform such tests and provide medical treatment that they deem necessary.
I understand that Urban Initiatives and its representatives, sponsors, licensees, affiliates, and employees may use my child’s name, photograph, video likeness and voice in promotional materials. I authorize in advance such use, and I waive any rights of privacy that I or my child may have.
I have read, fully understand, and agree to abide by this agreement. By signing it, I understand that I am giving up substantial rights so that my child may participate in the Programs, and I do so willingly. I agree that if any portion of this agreement is held to be invalid, illegal, or unenforceable, then the remaining provisions will remain in full force and effect. I understand that this agreement is binding upon me, my child, my child’s other parent or legal guardians, and my and my child’s heirs, executors, administrators, legal representatives, and assigns. My electronic signature below is the legal equivalent of—and has the same force and effect as—my original manual/handwritten signature on this form, and I agree to the use of such electronic signatures.