I understand that my child’s full name, address, and biographical information will not be made public. I further grant Trinity Safe Haven (TSH) company's the right to use and to allow others to use, my child’s image and/or voice on the internet, in brochures, and any other medium and hereby consent to such use. I hereby release TSH, usage of any using my child’s image and/or voice, artwork, and/or written work according to this media release from any claims, damages, liabilities, costs, and expenses which I or my child now have or may hereafter have because of any use thereof.

I consent

I, and all named individuals above, agree to abide by the rules and regulations set by TSH. I understand that violations of the rules and regulations, or misrepresentation of information on this form, may result in the restriction, revocation, reduction, or loss of program privileges without refund. Waiver and Release: I hereby waive and release TSH, its officers, agents, and employees, from and against any claims, suits, losses, or related causes of action for damages, including attorney’s fees and court costs, that may result from injury or death, accidental or otherwise, during, or arising from my child’s participation in a recreation program, including transportation to and from activities associated with the program, and any resulting illness and/or injury, and I agree to indemnify and hold harmless the TSH from and against any such claims. I recognize that the recreational events or activities being entered into by my child can be dangerous to my child and I accept those dangers. I understand that if my child is injured, this waiver will be used against me and anyone else claiming damage in any legal action because of my child’s injury. I hereby acknowledge that I understand and am familiar with the nature of the activities in which my child will participate at this facility, and affirm that my child is in good health and that my child does not have a physical or emotional condition, past or present, of which I am aware, which would in any way affect my child’s ability to participate in recreation programs. I also understand that I should have health and accident insurance to cover injuries arising from participation in recreation programs. I also understand that I am responsible for the immediate pick-up of my child upon completion of the program the child was registered in. *

I agree to the terms and conditions

Health & Safety Procedures TSH's number one priority is to safely serve all children and youth in our care. Our staff members will work with families to understand the special needs of children seeking accommodation, and to identify potential modifications necessary to serve children within our ability to safely serve the child and all the other children attending TSH during the COVID-19 Health Crisis. Every parent must cooperate fully with the Health & Emergency Procedures of the organization. Our regulations are designed to protect the well-being of all members. TSH will modify our regular procedures by adding more rigor, regulations, and restrictions to ensure our ability to safely operate our facilities and programs. Processes require additional screening, parental acknowledgment of health and wellness, provision of documentation, and verification of compliance with organizational standards before admission to the program or services and modified operating hours. All process implementation is done following modified organizational policy, and adherence to local, state, and federal laws and ordinances. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending TSH and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at TSH may result from the actions, omissions, or negligence of myself and others, including, but not limited to, TSH employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the TSH or participation in TSH programming (“Claims”). On my behalf, and behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the TSH, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the TSH, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any TSH program. Membership will be terminated if a member/youth and/or their parent guardian are found to be out of compliance with TSH guidelines and expectations. *