If you are filling this form out for a minor or someone whom you are a guardian to,

 (FILL OUT) Print Name:  Guardian of: , I hereby give my consent to my child or ward, to participate in Team Able’s activities and events.

 (SIGN) Name: Date:

 

EMERGENCY CONTACT, NAME:  PHONE NUMBER:

 

TEAM ABLE PLEDGE

 

1. I will offer my service but never assume someone’s needs; I will advocate with them.

2. I understand that our community is patient and creates opportunities for anyone to participate.

3. I understand that the opposite of ignorance is knowledge and understanding.

4. I am able to do many things and am open to sharing my knowledge and life experiences.  I am a teacher and a student.

5. I will use kind words and actions to create a safe and inclusive space for everyone.

6. I will set aside my ego to allow myself to grow and learn new things.

7. I may not agree with everyone, but I will respect everyone’s opinion.

8. I chose to lead by example with integrity and honesty.

9. I will not discuss politics, use offensive language, or create conflict as my community is about bringing everyone together and focusing on what we have in common.

 

 (SIGN) Name:

 

PHOTO RELEASE

 

For good and valuable consideration, the receipt of which is hereby acknowledged, I, hereby grant Team Able Inc. permission to use my likeness in a photograph in any and all of its publications, including but not limited to all of Team Able Inc.'s printed and digital publications. I understand and agree that any photograph using my likeness will become property of Team Able Inc. and will not be returned.

 

I acknowledge that since my participation with Team Able Inc. is voluntary, I will receive no financial compensation.

 

I hereby irrevocably authorize Team Able Inc. to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Team Able Inc.'s programs or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.

 

I hereby hold harmless and release and forever discharge Team Able Inc. from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

 

 (SIGN) Name:  Guardian of:

 

Team Able Inc. Release of Liability

   

In exchange for participation in the activity of any event organized by Team Able Inc., El Dorado, California, 95623 and/or use of the property, facilities, and services of Team Able, I, agree for myself and (if applicable) for the members of my family, to the following:

 

1. Agreement To Follow Directions. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Team Able, or the employees, representatives, or agents of Team Able.

 

2. Assumption of the Risks and Release. I recognize that there are certain inherent risks associated with the above-described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Team Able for injury, loss, or damage arising out of my or my family's use of or presence upon the facilities of Team Able, whether caused by the fault of myself, my family, Team Able or other third parties.

 

3. Indemnification. I agree to indemnify and defend Team Able against all claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Team Able.

 

4. Fees. I agree to pay for all damages to the facilities of Team Able caused by any negligent, reckless, or willful actions by me or my family.

 

5. Applicable Law. Any legal or equitable claim that may arise from participation in the above shall be resolved under California law.

 

6. No Duress. I agree and acknowledge that I am under no pressure or duress to sign this agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this agreement if I so desire. I further agree and acknowledge that Team Able has offered to refund any fees I have paid to use its facilities if I choose not to sign this agreement.

 

7. Arm's Length Agreement. This agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this agreement or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity. Accordingly, the Parties specifically reject the application of Cal. Civ. Code §1654 to this agreement, as well as any other statute or common law principles of similar effect.

 

8. Enforceability. The invalidity or unenforceability of any provision of this agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this agreement or of any other applications of such provision, as the case may be. Such invalid or unenforceable provision shall be deemed not to be a part of this agreement.

 

9. Dispute Resolution. The parties will attempt to resolve any dispute arising out of or relating to this agreement through friendly negotiations among the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure:

 

Any controversies or disputes arising out of or relating to this agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation is not successful in resolving the entire dispute or is unavailable, any outstanding issues will be submitted to final and binding arbitration under the rules of the American Arbitration Association. The arbitrator's award will be final, and judgment may be entered upon it by any court having proper jurisdiction.

   

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

 

 (SIGN)Name:  Date: