Parental\Legal Guardian Consent Form

HOLD HARMLESS AGREEMENT

You are providing consent that the above-named person is applying to the Village of Schaumburg with regards to a volunteer opportunity and that you are their legal guardian.

Please read and sign the following agreement on behalf of the above-named person.

HOLD HARMLESS AGREEMENT

WAIVER AND RELEASE OF ALL CLAIMS

As a participant in a Village of Schaumburg program or service, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, damages or losses which I may sustain as a result of my activities.

I do hereby fully release and discharge the Village of Schaumburg including its elected officials, employees, agents and corporate entity from any and all claims from injuries, damages or losses which I may have or which may accrue because of my participation in the program or service.

I further agree to indemnify and hold harmless and defend the Village of Schaumburg from any and all claims resulting from injuries, damages and losses sustained by me and arising out of, connected with, or in any way associated with my activities.

I have read and fully understand the nature of the above Waiver and Release of All Claims.

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.