I, the undersigned, understand the risks involved in participating in activities, programs, or events organized by Garfield County Public Health (collectively referred to herein as the “Activity”). In consideration for my participation, I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of my participation in the Activity.

This release is intended to discharge in advance Garfield County Public Health, its officers and/or officials, employees, volunteers, agents, and partner organizations (collectively referred to herein as the “Released Parties”) from any and all liability arising out of or connected in any way with my participation in the Activity, including any liability that may arise out of negligence or carelessness on the part of the Released Parties.

I understand that participating in activities coordinated by Garfield County Public Health may involve physical movement, outdoor participation, or other actions that entail inherent risk of accidents, potentially resulting in injury, loss of property, or death; I hereby knowingly assume these risks.

I further agree that this waiver, release, and assumption of risk is binding on my heirs and assigns. I agree to indemnify and hold the Released Parties free and harmless from any loss, liability, damage, cost, or expense that any heir or assign may incur as the result of my death or injury, or property damage that I may sustain while participating in the Activity.

I understand and agree that Garfield County Public Health may take photos or videos of participants during its events or activities for no additional compensation. Photos and videos may be used in Garfield County Public Health promotions, including but not limited to social media posts, printed materials, and the Street Smarts website.

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* 1. I, the undersigned parent or legal guardian of the minor participant named below, hereby give consent for my child to participate in activities organized by Garfield County Public Health and agree to the terms of the above Agreement, Waiver, and Release on his/her behalf. I affirm that said minor is physically able to participate in such activities and agree to indemnify and hold harmless the Released Parties from any loss, liability, damage, cost, or expense that I may incur as a result of any death, injury, or property damage that said minor may sustain or cause while participating.

I also consent to the use of any photographs or videos taken of my child during participation for future promotional materials by Garfield County Public Health, including but not limited to social media posts and the Street Smarts website.

I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND GARFIELD COUNTY PUBLIC HEALTH.

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* 2. Phone Number

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* 3. Participant(s) Name

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* 4. Date

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