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TEENS-IN-FLIGHT |
A 501 (c) 3 foundation formed to support the families of our military.
1. In consideration for receiving permission to participate in the Teens-In-Flight, Inc Program, I hereby release, waive, discharge and covenant not to sue Teens-In-Flight, Inc. its officers, servants, agents and employees (hereinafter referred to as "releasees") from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or relating to any loss, damage or injury, including death, that may be sustained by my child, or to any property belonging to my child, whether caused by the negligence of the releasees, or otherwise, while participating in the program, or while in, on or upon the premises where the program is being conducted, while in transit to or from the premises, or in any place or places connected with the Teens-In-Flight Program.
2. I am fully aware of risks and hazards connected with flight and participating in Teens-In-Flight, and I am fully aware that there may be risks and hazards unknown to me connected with being on the premises and participating in the Teens-In-Flight program, and I hereby request you accept my child to voluntarily participate in the program, to enter upon the above named premises and engage in activities knowing that conditions may be hazardous, or may become hazardous or dangerous to my child and property. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by my child, or any loss or damage to property owned by my child, as a result of being a participant in the Teens-In-Flight program, whether caused by the negligence of releasees or otherwise.
3. I further hereby agree to indemnify and save and hold harmless the releasees and each of them, from any loss, liability, damage or costs they may incur due to my child’s participation in the program, whether caused by the negligence of any or all of the releasees, or otherwise.
4. It is my express intent that this Release shall bind the members of my family and spouse, and my heirs, assigns and personal representative, a Release, Waiver, Discharge and Covenant Not to Sue the above named releasees.
In signing this release, I acknowledge and represent that:
A.
I have read the foregoing release,
understand it, and sign it voluntarily as my own free act and deed;
B.
No oral representation, statements or inducements, apart from the
foregoing written agreement, has been made;
C.
I am at least Thirteen (12) years of age and fully competent; and
D.
I execute this Release for full, adequate and complete consideration
fully intending to be bound by same.
In witness whereof, I have hereunto set my hand and seal this ___ day of ___________________, 2009
Student Name: ____________________________________________________
Parent/Legal Guardian Signature: _____________________________________
Name Printed: ___________________________________________
Witness: ________________________________________________
Witness Name Printed: _____________________________________
Mail
to:
Teens-In-Flight,
Inc
23
Felwood Lane
Palm
Coast, FL 32137-9277
(386) 569-5685