Friday, Dec. 2 | Electric Cooperative Training Center | Palmyra, Va.

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GIRL POWER DAY CAMP-RELEASE FORM

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General Release and Indemnification Agreement

Permission & Release: The Participant has requested the opportunity to participate in the “Girl Power” Day Camp Career Exploration Event (the “Event”) to be located in Palmyra, Virginia, taking place on December 2, 2022, VMDAEC grants such opportunity pursuant to this Agreement. Participant’s parents or guardians give permission for the Participant to participate in the Event. Participant’s parents or guardians, in consideration for being permitted to participate in the Event, do for him/herself, my spouse, my child, and my heirs, legal representatives, and assigns, hereby release and forever discharge the Virginia, Maryland and Delaware Association of Electric Cooperatives (hereinafter the “Association”) and its Members, and their officers, directors, employees, agents, representatives, attorneys, successors, volunteers, and affiliates (hereinafter “Releasees”) from any and every claim, demand, action or right of action, of whatever kind or nature, either in law or equity, arising from my participation in the Event, whether caused by the negligence of Releasees or otherwise.
Medical Release and Authorization: The Participant’s parent/guardian, on behalf of the child participant, further releases Releasees, officials, other participants, and any professional person of any claim whatsoever on account of first aid or medical treatment or services rendered in the course of the Event. In the event that the Participant is unable to consent to emergency medical treatment, the Participant and his/her parent)/guardian authorize and consent to emergency medical care to be given as the judgment of medical personnel dictate.
Assumption of Risks: The Participant and participant’s parent/guardian acknowledge and understand that participation in the Event is voluntary and freely assume all risks that may occur as a result of participation in the Event, such as influenza, MRSA, or COVID-19 exposure or infection, bodily or personal injuries up to and including serious injury, disability, or death, whether those risks are known specifically or not.
Indemnification Agreement: Participant and participant’s parent/guardian, in consideration for being permitted to participate in one or more events in the course of the Event, agree to indemnify, defend and hold harmless the Association and other Releasees, from any loss, liability, damage or cost, including attorneys’ fees and third-party claims, that any of them may incur due to Participant’s participation in the Event for any activities in connection with or arising out of the Event, whether caused by the negligence of the Releasees or otherwise.
Media Release: The Participant and participant’s parent/guardian understand and agree that photo and video recording of the Event will take place and grant a royalty-free, exclusive, and perpetual license to the Association and its members to use the said photo, video, and likeness(es) in any and all media, now known or hereafter developed.
Entire Agreement and Severability: This Release and Indemnification Agreement contains the entire agreement between the parties hereto. The terms of this agreement are contractual and not merely recitals. In the event that any part of this Release and Indemnification Agreement is deemed ineffective, all other parts of the Release and Indemnification Agreement shall remain valid and in full effect.
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