Registrant Information


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As consideration of participating in activities provided by BioIgnite,I hereby waive,release and discharge any and all claims for damage for personal injury, loss of life, or property damage for which my child may have, or
which may here after accrue to my child, as a result of his or her participation in activities provided by BioIgnite. This release is intended to discharge in advance BioIgnite, its officers, employees, and agents from any and all liability arising out of or connected in any way with my child’s participation in activities at this or any other facility even though that liability may arise out of negligence or carelessness on the part of the owners or operators of said facilities. It is understood that activities such as the ones my child will be participating in may involve a small element of risk of accident, and knowing those risks, I hereby assume those risks on behalf of my minor child. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold harmless, BioIgnite, its officers, employees and agents from any loss, liability, damage, cost or expense which they may incur as the result of my child’s death or any injury or property damage that my child may sustain while participating in any activity at this or any other facility.
I am the parent or legal guardian of the participant listed above. I hereby consent that the participant may participate in activities provided by BioIgnite,Inc. at this facility, and I hereby execute the Agreement, Waiver, and Release on his or her behalf. I hereby affirmatively state that the said Participant is physically able to participate in said activities. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost or expense that they may incur as result of the death or any injury or property damage that said Participant may sustain while participating in activities at this facility.
I grant to BioIgnite, Inc. (“BioIgnite”), its representatives and employees the right to take video and audio recordings and photographs (“Media”) of my child in connection with the participating in activities at provided by BioIgnite. I authorize BioIgnite, its assigns and transferees to copyright, use and publish such Media in print and/or electronically. I agree that BioIgnite. may use such Media of my child with or without his or her name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content.

In order to maintain the safest environment possible for learning and fun, BioIgnite’s staff and volunteers are trained to provide basic first aid on site. BioIgnite will always act in the best interest of the child and administer appropriate care as required. Should care require more than basic first aid, the child’s guardian will be notified and emergency services contacted. BioIgnite will maintain an accident record at all times.

  • I consent to BioIgnite assisting in first aid or medical emergency while my child is under the care of BioIgnite.

  • I do not consent to BioIgnite assisting in first aid or medical emergency while my child is under the care of BioIgnite. In lieu of BioIgnite administering basic first aid, I wish to be contacted at the emergency phone number provided

PERMISSION TO PARTICIPATE IN SURVEY

BioIgnite may provide a survey to the participating children to gauge their satisfaction in the activities in which they participated. This survey is used to improve the services provided by BioIgnite and assist in improving future activities. Surveys are anonymous and your student is not required to write their name on the survey.

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