I affirm that I have the legal custody of the minor child being enrolled in the CYC, the legal ability to consent to the child's participation in Conspirare activities for the time period of August 1, 2010 thru August 1, 2011 including the right to consent to travel.
My child wishes to be accepted for participation and take part in the CYC to be organized, conducted, and supervised by Conspirare; and in consideration of Conspirare action in allowing my child to participate in such Program which include travel to and from Conspirare events, and participation in various activities of Conspirare.
I acknowledge that being a member of CYC which my child has requested to participate in, certain risks and dangers may occur. These include, but are not limited to the hazards of physically demanding activities including, travel, flying, walking, which may result in accident or illness.
I further recognize that these risks may include loss or damage to personal property, physical or psychological damage and/or injury not excluding fatality due to accidents, which may occur.
In consideration of, and for the right to participate in, CYC and services arranged for my child by Conspirare, its Trustees, Directors, Officers, Employees, Agents, and/or Associates (herein after all called “Conspirare”), the undersigned hereby ASSUME ALL THE ABOVE RISKS AND ANY OTHER ORDINARY RISK INCIDENTAL TO THE NATURE OF PROGRAMS WHICH ARE NOT SPECIFICALLY FORESEEABLE. THE UNDERSIGNED ALSO AGREES TO AND SHALL HOLD HARMLESS AND UNCONDITIONALLY INDEMNIFY CONSPIRARE, ITS OWNERS, TRUSTEES, DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, AND/OR ASSOCIATES FROM AND AGAINST ANY AND ALL ACTIONS, CLAIMS, LOSSES, COSTS, DAMAGES, EXPENSES AND LIBILITY OF ANY AND EVERY KIND (INCLUDING BUT NOT LIMITED TO ATTORNEY'S FEES) FOR ANY AND ALL INJURIES TO OR DEATH OF ANY PERSON, INCLUDING BUT NOT LIMITED TO MY CHILD, OR DAMAGE TO OR LOSS OF ANY PROPERTY DIRECTLY OR INDIRECTLY ARISING OUT OF OR CAUSED BY OR CONNECTED WITH OR INCIDENTAL TO OR RESULTING FROM MY CHILD'S INVOLVEMENT IN THE PROGRAMS INCLUDING BUT NOT LIMITED TO ANY ACT, OMMISSION OR NEGLIGENCE OF CONSPIRARE OR ITS, TRUSTEES, DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, AND/OR ASSOCIATES, REGARDLESS OF WHETHER OR NOT IT IS CAUSED IN WHOLE OR IN PART BY A PARTY INDEMNIFIED HEREUNDER.
I hereby give permission and authorize medical personnel selected by Conspirare or its agents to provide any medical care for my child, which they believe to be required. This authorization is unlimited in scope including, but not limited to, authority to order injections, anesthesia, surgery, and other invasive medical procedures. I also understand and agree to assume full financial responsibility for paying all costs and expenses associated with the provision of medical care for my child. Furthermore, I also agree to assume full financial responsibility of any costs associated with any specialized means of evacuation necessary to transport my child to an appropriate medical care facility.
If any dispute results, then both parties agree to binding arbitration under the rules of the American Arbitration Association (AAA) Applicable to disputes of a similar nature and shall be conducted by the AAA upon proper demand under the rules of the AAA. Both parties irrevocably consent and submit to the jurisdiction and venue of the State and Federal Courts having jurisdiction of Travis County, Texas in connection with any suit, action, or other proceeding concerning this Agreement and Release for purposes of confirming any award or any collateral litigation.
If any provision of this Agreement and Release is found to be unenforceable by a Court of the last resort, it is the parties' intention that the Court should reform the unenforceable provision so as to best approximate the parties' intent, and to enforce the provision as reformed.
TEXAS LAW SHALL APPLY TO THIS AGREEMENT and its VALIDITY, CONSTRUCTION, INTERPRETATION, NEGOTIATION, PERFORMANCE, DEFAULT AND/OR ENFORCEMENT.