WAIVER AND RELEASE OF LIABILITY FORM. RELEASE OF LIABILITY, WAIVE OF CLAIMS, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT 2017
Child's Information
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Medical Information
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Agreement
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I, The undersigned parent/person having legal custody/ guardianship of the above said minor, give permission for the minor to participate in The Skate Kids Mobile Skate Parks. The minor is physically able to participate in all activities as described in the announcement for the program. In consideration of said minor being permitted to enter any and all tour destinations/ transportation as well as the use of facilities and/or equipment, or participation in the tour program, I, on behalf of myself (as parent, guardian, coach, aid, spectator, or participant) hereby:

1. Acknowledge that I have read this document, I have inspected the tour transportation and equipment, I accept them as being safe and reasonably suited for the purposes intended I voluntarily sign this document.

2. Release The Skate Kids Mobile Skate parks, its directors, officers, employees, agents, representatives and volunteers (collectively "releases") from all liability to me for any loss or damages to property or injury or death to person, whether caused by Releases or otherwise and while such minor is in attendance of The Skate Kids Mobile Skate parks.

3. I agree not to sue Releases for any loss, damage, injury, or death described above and I will indemnify and hold harmless Releases and each of them from any loss, liability or damage or cost they may incur due to said minors presence in attendance of The Skate Kids Mobile Skate parks, whether caused by the negligence of Releases or otherwise.

4. I assume full responsibility for, and risk of, bodily injury, death or property damage due to the negligence of releases or otherwise.

5. I do hereby authorize The Skate Kids Mobile Skate parks as agent for the undersigned, to consent with respect to said minor, to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by and is to be rendered under general or special supervision of, any physician and surgeon licensed under the provisions of the California Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physical or the hospital, I understand that The Skate kids Mobile Skate parks is not responsible for any costs incurred for medical care.

6. I give The Skate Kids Mobile Skate parks permission to use any picture of likeness of me or a picture or likeness of my children in The Skate Kids Mobile Skate parks general publicity and campaign materials.

I intend this document to be as broad and inclusive as permitted by the laws of the State of California. I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY OR HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES..