LIABILITY WAIVER AND RELEASE
I, the undersigned, hereby give permission for my child to participate in the Summer Voyager program, being presented by the Stamford Public Education Foundation. I agree to abide by all rules and regulations set forth by the Stamford Public Education Foundation and its enrichment partners. I understand that the insurance that is carried by Stamford Public Education Foundation is secondary to the coverage I have. In the event of a claim, I agree to submit claims to my company first. If I cannot be reached in an emergency, I authorize the staff of the Stamford Public Education Foundation and its enrichment partners to obtain whatever medical treatment deemed necessary for the welfare of my child. I further understand and agree that I will be responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether or not my medical insurance covers such charges and fees. If any equipment issued to my child should be lost or damaged through my, or my child's negligence, I agree to pay for the same.
By permitting my child to participate in this activity, I hereby consent to the recording of my child by videotape, still photography, audio recording or any other means of recordation including electronic and digital recording, and the use of said recordings by the Stamford Public Education Foundation on its internet website and in material produced by or at the request of the Stamford Public Education Foundation.
I hereby grant the Stamford Public Education Foundation and its staff access to any and all medical records required by the State of Connecticut’s Youth Camp Licensing Program. I hereby grant the authority for the Stamford Public Schools to release any and all medical records required by the State of Connecticut’s Youth Camp Licensing Program to the Stamford Public Education Foundation.
In addition to giving my full consent for my child’s participation, I do hereby waive, release and hold harmless the Stamford Public Education Foundation, all of its officers, directors, agents, representatives, attorneys, employees, owners, successors, assigns and other affiliates from any and all liability for any injuries or damages that my child may suffer in connection with the activities or in which my child may participate.
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