The Arab Community Center for Integration Services (ACCIS)
Parental Waiver, Release of Liability, Indemnification and Consent Form
I, the undersigned, as the parent or legal guardian of the child/children named above, do hereby give my full consent and approval for my child/children to participate in the Cultural Summer Camp (referred to in this form as “Activity”) which will be held at American River College, 4700 College Oak Dr., Sacramento, CA 95841 and William B Pond Park, 5700 Arden Way, Carmichael, CA 95608, from July 31, 2023 – August 4, 2023.
On behalf of myself, my spouse, my family, heirs, assigns, and personal representatives (the “Releasers”), hereby:
Acknowledge that the planned Activity has been explained to me and I fully understand and appreciate the dangers, hazards, and risks that may arise from the Activity. I agree to assume all of these risks on behalf of my child/children. These risks include, but are not limited to, those hazards associated with other participants, volunteers, instructors, equipment, my child’s/children’s health condition(s), and others not known to me.
Further, I agree that in consideration for the right to allow my child/children to participate in the Activity:
On behalf of my child/children and myself, I do voluntarily elect to accept and solely assume all risks of damage, theft and/or injury incurred or suffered by my child/children: (a) while participating in the Activity; (b) while observing others participate in the Activity; and (c) while on or upon the premises of any and all of the locations arranged for performance of the Activity.
In addition to giving my full consent for my child’s/children’s participation, I do hereby waive, release, discharge and agree not to sue The Arab Community Center for Integration Services (ACCIS), its affiliates, directors, officers, employees, volunteers, agents, and contractors (“Releasees) for any claim, damages, costs including attorney fees, or cause of action which I or my child/children have or may have in the future as a result of damages, injuries, including death, sustained or incurred by my child/children from whatever cause including, but not limited to, my child’s/children’s conduct and/or the negligence or wrongful conduct of the parties of the Releasees.
I agree that if any portion of this Form is determined by a court of law to be invalid, that the remainder will continue in full force and effect. I further agree that the contents of this Form shall be construed to provide the broadest waiver, release, indemnification, and consent possible.
I acknowledge: (a) that I have read each and every one of the provisions in this Form; (b) that I understand each of the provisions in this Form; and (c) that I agree to abide by them.