I hereby consent to the participation of my child in the AGAPE Youth Center program. I fully understand that any participation in the AGAPE Youth Center afterschool program exposes me to the risk of personal injury or property damage. I hereby acknowledge that I am voluntarily participating in this program and agree to assume any such risks.
This form must be signed in order for the child to participate in the AGAPE Youth Center.
On behalf of my child and in consideration for being permitted to participate in the program, I, my agents, heirs, marital community, if any, and legal representatives hereby release, promise to defend, indemnify, and agree(s) to protect, save and otherwise hold harmless FBCC and the AGAPE Youth Center, it's boards, elected and appointed officials and employees, and agents from and against all claims, demands, and causes of action of any kind or nature, including the cost of defense, or liability arising from or relating to this program, the grant of the registration, or any use of FBCC facilities related to this registration and/or actions in connection with my participation in this program including but not limited to personal injury, property damage or death, unless caused solely by the negligence of the FBCC.
BY SIGNING, I ACKNOWLEDGE I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT IT IS A FULL RELEASE OF ALL LIABILITY ADN I SIGN IT ON MY OWN FREE WILL.