PARENTAL CONSENT AND RELEASE OF LIABILITY
I, the undersigned, am either an emancipated adult or the parent or legal guardian of a minor child who will be participating in the Fraternus and/or Fidelis event. I am fully aware that my/my child's participation in the event is totally voluntary. In consideration of FRATERNUS, INC. agreement to permit me/my child to participate in the event, the receipt and sufficiency in which consideration is hereby acknowledged, I agree as follows:
1. Release and acquit and forever discharge FRATERNUS, INC. and their employees, agents, servants, officers, trustees and representatives, in their official and individual capacities, from any and all liability whatsoever for any and all damages, losses or injuries to persons or their property or both which arise out of, during or in connection with my/my child’s participation in the event which may be sustained and suffered by me/my child or any person in connection with me/my child’s participation in, activities at, sponsored by, or arising out of my/my child’s travel to or from the event;
2. Agree to indemnify, defend and hold harmless FRATERNUS, INC. and their employees, agents, servants, officers, trustees and representatives in their official and individual capacities, from any and all liability, loss or damage they incur or sustain as a result of any claims, demands, actions, causes of action judgments, costs or expenses, including attorney’s fees, which result from, arise out of, relate to my/my child’s participation in the event including my/my child’s travel to or from the event.
I hereby acknowledge and accept that:
a. There are certain risks arising from various activities, including but not limited to bodily injury, that could result from my/my child’s participation in the event. I have knowingly and voluntarily decided to assume the risks of these inherent dangers in consideration of FRATERNUS, INC. permission to allow me/my child to participate in the event;
b. My and, if applicable, my child’s personal property is at my risk entirely;
c. FRATERNUS, INC. reserves the right to decline to accept or retain me/my child in the event at any time should my/my child’s actions or general behaviors impede the operation of the event or the rights or welfare of any person. I understand that I/my child may be required to leave the event in the sole discretion of FRATERNUS’ agents and representatives. In such an event, no refund will be made for any unused portion of the event. I understand that FRATERNUS, INC., in its sole discretion, reserves the right to cancel the event or any aspect thereof prior to commencement.
I represent and warrant that I am/my child is covered throughout the event by a policy of comprehensive health and accident insurance which provides coverage for injuries which I/my child may sustain as part of my/my child’s participation in the event. I agree to complete the HEALTH INFORMATION above to the best of my ability and, by its completion, I hereby release and discharge FRATERNUS, INC. of all responsibility and liability for any injuries, illnesses, medical bills, charges or similar expense my child may incur while participating in the event. By completing this form, I hereby authorize FRATERNUS, INC. to obtain any necessary medical treatment for myself/my child, consent to any necessary examination, treatment, or care under the supervision and/or advice of any properly licensed medical professional and explicitly authorize FRATERNUS, INC. to release medical information about me/my child to any person or entity to whom FRATERNUS, INC. refers me/my child for medical treatment. I agree that this Agreement is to be construed pursuant to the laws of the State of Florida and is intended to be as broad and inclusive as permitted by law, and if any portion hereof is held invalid, it is agreed that the balance hereof shall continue in full legal force and effect. In addition, I agree that any legal action arising out of or in relation to this Agreement must be brought in a St. Johns County, Florida court. I hereby grant to FRATERNUS, INC., my consent without reservation to use, assign, convey, reproduce, copyright, publish or sell my/my child’s name, voice, image, and/or likeness that arises from his participation in the event, whether still or motion pictures, audio or video tape, for promotional, instructional, business or any other lawful purposes, at FRATERNUS, INC. sole discretion.