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Event Consent Forms
Participation, Photo & No Harm Consent
Event Name
*
Participant 1 Name
*
First
Last
Participant 1 Age & Grade (if under 18)
Participant 2 Name
First
Last
Participant 2 Age & Grade (if under 18)
Participant 3 Name
First
Last
Participant 3 Age & Grade (if under 18)
Parent / Guardian Name of Participant(s) (if under 18)
First
Last
Emergency Contact Phone Number
*
List any allergies (or "None")
*
Participation Consent
*
I attest that I have read, understand, and accept the below provisions as a participant or parent/guardian of a participant(s).
I hereby grant my permission for my/my child’s participation in the outdoor educational experience(s) sponsored by CoreShark H2O.
PHOTO RELEASE: I acknowledge that CoreShark H2O and its partners reserve the right to video, photograph, record any activity, or place on the internet pages of these organizations any pictures associated with this educational experience.
*
YES, I give permission for my/my child’s photograph and/or video to be posted on our internet platforms.
NO, my/my child’s photograph and/or video may not be posted on our internet platforms.
No Harm Consent
*
I attest that I have read, understand, and accept the below provisions as a participant or parent/guardian of a participant(s).
As a participant in this outdoor environmental education, I acknowledge that there are certain risks that come with this activity; and by signing this waiver, I waive any claims of liability against CoreShark H2O and hold the organization harmless from and against any such injury, illness or damage, including, without limitation, claims for such injury or illness.
The participant does hereby acknowledge that by participating in this activity of outdoor environmental education there is risk of personal injury or illness and the participant does hereby waive, relinquish, discharge and forever release any and all claims, actions, and causes of action against CoreShark H2O (including its volunteers, directors, officers, employees and agents) and their successors and assigns to the fullest extent permitted by law, which in any manner may arise from loss, damage, illness, or injury, direct or indirect; as a participant in this activity.
Sign This Form By Typing Your Name and Date
*
Date
*
MM slash DD slash YYYY
Email
*
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