I, or my child, in consideration of being allowed to participate as an MYC volunteer, at the
Milford Youth Center and approved by the Milford Youth Commission, agree to the following conditions: The
program organizer(s), group chaperones, the Milford Youth Commission, the town of Milford and their
respective employees and agents shall not be liable for any personal injury (including death), damages, or loss
to my person or property arising from participation in this program (including offsite programming). It is further
agreed that in consideration of being so permitted to participate, (I)(we) do forever release, acquit, discharge
and covenant to hold harmless the Milford Youth Commission and the Town of Milford, and their successors,
departments, officers, employees, servants, and agents, of and from any and all actions, causes of action, claims, demands, damages, costs, loss of services, expenses and compensation on account of, or in any way growing out of, directly or indirectly all known and unknown personal injury or property damage which may hereafter occur, and also any claims or rights of actions for damages which have or hereafter may acquire, resulting from participation in the subject excursion.

Knowing that the physical condition of myself and/or child is satisfactory to participate at the Milford Youth
Center and activities; I hereby give permission for my child/myself to participate.

 

I further accept responsibility for myself or my child in case of injury. I hereby release the Milford Youth Center and its Employees, the towns and their agents, and such other officers and/or volunteers from any liability that may occur to my child, as a result of an accident. I/We hereby give my/our approval to their participation in any and all Milford Youth Center activities. I/We assume all risks and hazards incidental to such participation, including transportation to and from the activities; and I/We do hereby waive, release, absolve, indemnify and agree to hold harmless the Milford Youth Center, the Town of Milford, the organizers, supervisors, sponsors, participants, and persons transporting my/our child to or from activities, for any claim arising out of an injury to my/our child to the extent covered by accident or liability insurance.

 

On rare occasions, an emergency requiring hospitalization and/or surgery develops. As a general rule, anesthesia may not be administered to or operations performed upon a minor without written permission by his/her parent/guardian. Therefore, in order to prevent a dangerous delay, if an emergency does occur, and we are unable to contact the parent or legal guardian, the parent/guardian is asked to sign the release form below. In the event of injury or illness to me/my child, I hereby authorize Milford Youth Center representative(s) to secure whatever treatment is deemed necessary and, if recommended by an attending physician, the administration of an anesthetic or performance of surgery. We do hereby release and discharge the Milford Youth Center, officers, employees, and agents, from any and all actions or claims for damages suffered by me/us or my/our child, as a result of the permission for any medical care for my/our child during his/her participation in any Milford Youth Center activity, event or trip.

I understand that my name and/or my child's name and photo may be used in photographs, videos, literature, web pages, and news releases in local papers and other media outlets.