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Waiver and Permission Form for Virtual Programs-Minor

Waiver and Permission Form for Virtual Program/Activity Participation (Minor) 

Event Host: Pasco County Libraries System (17 Years of Age or Younger)

 

IN CONSIDERATION OF YOUR MINOR CHILD OR WARD BEING PERMITTED TO PARTICIPATE IN THE PROGRAM/ACTIVITY REFERENCED BELOW, YOU HEREBY ATTEST THAT, AFTER READING THIS PASCO COUNTY LIBRARIES SYSTEM WAIVER AND PERMISSION FORM COMPLETELY AND CAREFULLY, YOU ACKNOWLEDGE THAT PARTICIPATION IN THE PROGRAM/ACTIVITY BY YOUR CHILD OR WARD IS ENTIRELY VOLUNTARY, AND THAT YOU UNDERSTAND AND AGREE AS FOLLOWS: 

RELEASE OF LIABILITY: I agree, on behalf of my child or ward, to waive and release all liabilities, claims, actions, damages, costs or expenses of any nature ("Claims") associated with all risks which are inherent to his or her participation in the Program and/or the activities specified below or other activities conducted in conjunction therewith (the "Program/Activity") (which risks might include, among other things, bruises, muscle injuries, herniated vertebral discs, cuts, lacerations and broken bones), whether such risks are open and obvious or otherwise. Further on behalf of myself, I hereby release, covenant not to sue, and forever discharge Pasco County, Pasco County Libraries Foundation, Inc., Friends of the Pasco County Libraries System, Inc., and the Pasco County Library Cooperative (hereinafter collectively referred to as "the Released Parties") of and from all Claims arising in any manner out of or in any way connected with my child's or ward's participation in the Program/Activity. 

By signing below, I certify that: (1) I have fully and completely read and understand this Pasco County Libraries System Waiver and Permission Form; (2) I am 18 years of age or older; (3) I am the parent or legal guardian of the minor child or ward identified below; (4) the information set forth below pertaining to my child or ward is true and complete; and (5) I consent and agree to the all of the foregoing on behalf of myself and my minor child or ward identified below. 

Participant (child or ward) Information: