Event Registration Form

* 7. Please read the following agreement and check agree:
In connection with my child or ward’s voluntary involvement in activities undertaken for, and
with the participation and support of East County Valkyrie, a non-profit charitable organization, I
hereby agree, for myself, my heirs, assigns, executors, and administrators to release and
discharge East County Valkyrie, its officers and directors, employees, agents and volunteers from
all claims, demands and actions for injuries sustained to my child or ward’s person and/or
property as a result of his/her involvement in such activities, whether or not resulting from
negligence, and I agree to release and hold East County Valkyrie, its officers and directors,
employees, agents and volunteers harmless from any cause or action, claim, or suit arising
therewith. I hereby attest that attendance and involvement in such activities is voluntary, that he/
she is participating at his/her own risk, and that I have read the foregoing terms and conditions of
this release. Furthermore, I grant permission for photographs, video and quotations from my child
or ward during his/her involvement with East County Valkyrie to be used to further promote
volunteerism.
Permission
I hereby give permission to my child or ward to participate in all activities in the program of East
County Valkyrie expressly and specifically acknowledging that those activities may include, but
may not be limited to all physical activities that come with basketball and working with children.
I also give East County Valkyrie permission to take my child or ward to the hospital in case of
any emergency and to administer medication that I provide for my child. I further attest that my
child or ward has no allergies or special medical needs other than those listed below.
By checking below you are signing agreement.