I (We) hereby acknowledge that the activities associated with any recreational program involves an element of risk of injury. These activities include but are not limited to: swimming, canoeing, softball, volleyball, climbing, hiking, basketball, arts and crafts. Faces of Courage Foundation does not own, operate or control the facilities where life enrichment activities are conducted. As a consequence, the below signed hereby acknowledges that he/she does hereby assume the risk of any injury, illness, harm or damage of any type that may occur in the course of his/her own personal or his/her child’s participation in any Faces of Courage Foundation program and release Faces of Courage Foundation and its board, Officers, venue, Staff and Volunteers from any liability or responsibility whatsoever.
I (We) give permission to the medical personnel selected by the program director to order x-rays, routine tests, treatment; to release any records necessary for insurance purposes; and to provide or arrange related transportation for myself or child due to injury, illness or medical emergency. In the event that I cannot/ or any other appointed individual cannot be reached in an emergency, I hereby give permission to the physician selected by the program director to secure and administer treatment, including hospitalization, for the above named individual.
I (We) grant permission for the above named to participate in any audio-visual, photo, interview, or multi-media event that may take place by Faces of Courage Foundation and I (we) release everyone involved from liability or claims in association with said coverage.
I (We) grant permission for any photos, audio-visual footage, interviews both recorded and printed of the above named individual, to be used for publication in any multi-media or advertising format, such as brochures, websites, television, public service announcements, ads and publications with the express purpose of marketing and promoting Faces of Courage Foundation.
Please upload any medication directives you may have here.