Health Form & Liability Release

LIABILITY RELEASE
I understand that Youth Resources of Southwestern Indiana, Inc., Youth Resources’ employees, any volunteers, and any employees of locations in which Youth Resources operates, cannot assume any liability for people attending Youth Resources events. I waive, release and discharge Youth Resources of Southwestern Indiana, Inc., Youth Resources’ employees, any volunteers, and any employees of locations in which Youth Resources operates from any and all claims of liability from my/my child’s participation in these events.
RELEASE TO USE IMAGE AND LIKENESS
On occasion, Youth Resources of Southwestern Indiana, Inc. or its representatives take photographs or make an audio or video recording of children and/or adults involved in activities. In addition, such photographs and audio/visual recordings may be used in publications or advertising materials to let others know about Youth Resources’ activities. These images may also be used by Youth Resources or its agents to produce resources for staff training, Youth Resources programs, or other uses to promote the work of Youth Resources. Youth Resources may also make these materials available for sale to the public. I consent to the use of any such audio or visual record of me/my child to be used, distributed or displayed as agents of the organization see fit. This consent includes but is not limited to: photographs, video, and audio recordings. Furthermore, I give permission for myself/my child to be interviewed by the news media, or for such photographs and other audio or visual records to be used by the news media.
WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19
ASSUMPTION OF RISK/WAIVER OF LIABILITY/INDEMNIFICATION AGREEMENT
In consideration of being allowed to participate on behalf of Youth Resources of Southwestern Indiana, Inc. and related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. Participation includes possible exposure to and illness from infectious diseases including but not limited to influenza and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest Youth Resources staff member immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Youth Resources of Southwestern Indiana, Inc., their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), with respect to any and all illness, disability, death, or loss or damage to person or property, whether arising from the negligence of releasees or otherwise, to the fullest extent permitted by law.