Empowering Girls Network
Participant Photo/Video Release
and Indemnity Agreement
Please read this carefully before signing:
Empowering Girls Network (EGN) appreciates you and your child’s interest in our Empowering Girls Network (EGN). This Release and agreement are intended as a means of informing and gaining the consent of the parent/guardian to allow their daughter/mentee to participate in our Empowering Girls Network Program.
We (or I) request that you accept the participation of my child {mentee Name} for events/activities/camps/workshops etc., associated with EGN. In consideration, of acceptance, we (or I), hereby release our volunteers, staff, and all assistants of EGN from all claims or causes of action arising from damage or injury to the person or property of my child resulting from participation in all activities associated with EGN, whether such damage or injury is the result of negligence or some other cause. We (or I) hereby agree to the Release and indemnity and hold harmless proceedings of every kind and character that may be presented or initiated by any other person in EGN.
If medical attention is required for injury or illness while participating in activities, we (or I) give our (or my) permission for such medical care. Any such care can be provided by EGN organizers and or their assistance at their
sole discretion. In the event of illness or injury requiring treatment, hospitalization, and/or surgery, we (or I), the child’s family, or their medical insurance are responsible for the cost. We (or I) will accept all expenses for such treatment. (We) I EGN, and or its assistance from all liability of injury, death, or other damages to me, my child, family, estate, heirs, or assigns that may result from his/her participation in the program, including but not limited to transportation, and hold harmless any EGN staff, partnering agencies and affiliates or other representatives, both collectively and individually, of any injury, physical or emotional, other than where gross negligence has been determined. We (or I) give permission for EGN to use any films, videos, or photographs of my child for publicity, advertising, or other commercial purposes. We (or I) agree to the Notice Agreement conditions. We (or I) have read and understand the EGN policy and release agreement. By dating and signing below.