By Submitting This Registration Form, Program Participants 18+ Years Of Age
& Parent/Legal Guardian of Youth Below The Age Of 18 Agree To The Following:
I agree to indemnify and hold harmless Infinite Scholars Program, its insurers, employees, officers, directors, associates, partners, volunteers, sponsors, contractors, affiliates, and agents from any and all obligations, liabilities, claims, demands, costs, and expenses, including attorney’s fees, arising out of my participation and/or my minor child’s participation.
I understand and acknowledge that this Indemnification Waiver discharges Infinite Scholars Program from any liability or claim that I, the undersigned, may have against Infinite Scholars Program, with respect to any bodily injury, personal injury, illness, death, or property damage that may result from my participation or my minor child’s participation. I also understand that Infinite Scholars Program does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury, illness, death or property damage.
I HAVE CAREFULLY READ THIS INDEMNIFICATION WAIVER AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND INFINITE SCHOLARS PROGRAM AND I SIGN IT OF MY OWN FREE WILL.
MEDIA CONSENT, RELEASE, AND WAIVER
I hereby give consent to Infinite Scholars Program to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself or my child or children (if applicable) to use in any public media, including radio, television, internet, social media, print or in any of the organization’s or its partners’ publications, productions, or posts. I understand that the intended use of such images and information is solely for the purpose of advertising, marketing, fundraising and/or the promotional and public awareness purposes for the organization. I hereby waive any rights or interest in the images or recordings, as contemplated in this release.
I acknowledge that this consent to use images and/or recordings is being made solely for the benefit of the organization and comes without any expectation of monetary compensation or other benefit to me. To the extent that any benefit accrues or might accrue to the organization from the use of images or information, I hereby and forever waive any interest in or claim to such benefits.
I hereby release and forever discharge the organization (including without limitation all corporate affiliates and officers, directors, trustees, donors, employees, agents and volunteers) from any and all claims, liability, actions, suits, demands, costs, expenses or indebtedness arising out of, related to, or in any way connected with the use of images and materials described herein, and I hereby waive all rights and interest in and to such information and materials. I further acknowledge that there is no guarantee that any or all of the participants’ images or recordings will be used in any released media. I have been informed that this authorization is voluntary and is subject to revocation at any time, except to the extent that action has been taken in reliance thereon, by notifying the organization in writing and delivered by certified mail, return receipt requested, to:
9506 Olive Boulevard – Suite 346
Saint Louis, MO 63132