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JLC Accident Waiver, Release of Liability, and Media Release Form

My child will be participating in the Junior Leadership Cumberland 2022-2023 program.

In consideration of my child being allowed to participate in this program, I, on behalf of myself and my child, hereby waive, and I hereby agree to indemnify and hold harmless Leadership Cumberland, monthly host sites, their agents, or employees, against any and all causes of action, rights, claims or suits which I or my child may have against Leadership Cumberland or monthly host sites, or their agents or employees as a result of injury to my child.

I understand that my child’s image may be included in videos or photographs that may be made during this program. I consent that my child’s image may appear on videos, promotional resources, Leadership Cumberland-endorsed websites, etc. I understand that my child’s name and/or likeness may appear in the media or various publications for an indefinite date unless otherwise specified and I do not expect any compensation for their use.

In consideration of the benefits that my child will receive through my participation in the Junior Leadership Cumberland Program, I hereby expressly and knowingly release Leadership Cumberland and each of our monthly host sites, their officers, sponsors, volunteers, agents, and employees from any and all claims and causes of action I or my child may have for property damage, personal injury or death sustained by my child arising out of any activity conducted by or under the auspices of Leadership Cumberland. 

I hereby consent that my child may receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this program.

This accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I certify that I have read this document in its entirety, and I fully understand its content. I am aware that this is a release of liability and a contract and I sign it of my own free will.