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Release Form

Families registering siblings must submit one child per form. Thank you!

Child Information

Parent Information

Authorization, Release & Consent

I hereby authorize ​

to participate in Adventure Life Academy's programs & events unless this authorization is revoked by me in writing.

I understand, acknowledge and agree that Adventure Life Academy and its programs, its elected or appointed officers, agents or volunteers shall not be liable for any injury/illness suffered by my child which is incident to and/or associated with preparing for and/or participating in this activity and I voluntarily assume all risk, known or unknown, of injuries, howsoever caused, even if caused in whole or in part by the action, inaction, or negligence of the released parties to the fullest extent allowed by law.

I fully understand that participants are to abide by all rules and regulations governing conduct during sessions. Any violation of these rules and regulations may result in that individual's future participation being revoked at the expense of his/their parent/guardian.

Transportation Release

I give permission for my child to be transported in a motor vehicle driven by Adventure Life Academy employees, David or Delfina Geus, or the Academy's designated bus driver, to and from events disclosed to me in writing on the website and by email prior to the session. I understand that my child is expected to follow all applicable laws regarding riding in a motor vehicle and is expected to follow the directions provided by the driver and/or other adult volunteers.

I have read, understand, and discussed with my child that:

(1) They will be traveling in a motor vehicle driven by an adult and they are to wear their safety-belt while traveling;
(2) They are expected to respect each other, the vehicles they ride in, and the people they travel with during the trip;
(3) Riding in a motor vehicle may result in personal injuries or death from wrecks, collisions or acts by riders, other drivers, or objects; and
(4) They are to remain in their seats and not be disruptive to the driver of the vehicle. 

I recognize that by participating in this activity, as with any activity involving motor vehicle transportation, my child may risk personal injury or permanent loss. I hereby attest and verify that I have been advised of the potential risks, that I have full knowledge of the risks involved in this activity, and that I assume any expenses that may be incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses. As a condition for the transportation received, I, for myself, and my child, further agree to release and discharge Adventure Life Academy & its employees from any claim that I might have myself or that I could bring on my child’s behalf with regard to any damages, demands or actions whatsoever, including those based on negligence, in any manner arising out of this transportation.

I have read this entire waiver and permission form, fully understand it, and agree to be legally bound by its terms.

Medical Information

Media Release

Use of photos & videos

I acknowledge that I have carefully read this AUTHORIZATION, RELEASE, AND CONSENT FORM and that I understand and agree to its terms. 

Thank you!

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