Release and Agreement not to Sue regarding Youth Conference by pellcity27

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									           Release and Agreement not to Sue regarding Youth Conference

By signing this waiver, you agree that you may be giving up legal rights and
remedies available to you and your family. Read and complete this waiver
carefully. If you have any questions, contact an attorney.

Child's Name: ______________________________________________________

Parent/Guardian's Name: ____________________________________________

Home Address: ___________________________________________________

          Parent/Guardian Emergency Contact Name and Telephone Numbers:

Name: _______________________________________________________

Relationship: __________________________________________________

Home Phone: _____________________________

Work Phone: _____________________________

Cell Phone: _____________________________

If Parent/Guardian Unavailable, Alternate Emergency Contact Name and Phone No:

Name: _______________________________________________________________

Relationship: _________________________________________________________

Home Phone: _____________________

Work Phone: _______________________

Cell Phone: _________________________

1.     Nature of the Conference. I understand that the nature of this private
conference event, (name of conference), hereinafter referred to as the Conference,
sponsored by (name and address of organization) hereinafter referred to as
Organization, is as follows:

     The Conference will be held at (name of facility), hereinafter called
     the Facility, located at (street address, city, county, state, zip code)
     from (date) to (date). Approximately (number) young people and adults
     will attend the Conference. As a condition of using the Facility, the Facility
     requires the Conference to rely solely on the Facility's security and medical
     personnel. The Conference will be in session from (time) to (time) on day
     one, (time) to (time) on day two, and (specify times for remaining days),
     excluding breaks for recreational activities.

2.      Nature of Risks. I understand that voluntarily traveling to and attending a
Conference of this nature may involve certain risks beyond the reasonable control of
Organization, its officers, directors, volunteers, and agents in connection with the
Conference and the respective officers, directors, volunteers, and agents, and
chaperons or representatives associated with the Conference (said Organization its
officers, directors, volunteers, and agents in connection with the Conference and the
respective officers, directors, volunteers, and agents, and chaperons or representatives
associated with the Conference hereinafter called Releasees), including 
								
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