As the parent/guardian of a child(ren) attending Winter Wonderland hosted by JCHA and Keystone Development, I agree to the following:
I give permission to JCHA and the event hosting organization, without limitation or obligation, to use photographs, film footage, or audio recordings that may include my child’s image or voice for the purpose of promoting or interpreting JCHA Youth programs. I release JCHA and the event hosting organization from any liability or claims related to such use. This form may be photocopied. The information is accurate and I have read and understand the information and agree to comply with the terms outlined. My child will follow JCHA rules and regulations and adhere to the guidance provided by JCHA staff while participating in the program.
WAIVER, RELEASE, and INDEMNIFICATION AGEEMENT
In consideration for being allowed to use and participate in the facilities, services, and programs of the Johnson City Housing Authority (JCHA), Keystone Development, and/or any organizations hosting the event(s) for any purpose—whether that be observing, using facilities or equipment, or participating in any JCHA-affiliated program, regardless of location—the undersigned, for themselves, as well as their personal representatives, heirs, and next of kin, acknowledges, agrees, and affirms that they have, or will immediately upon entering or participating, inspect and assess the premises, facilities, and any affiliated programs. By entering JCHA/Keystone Development to observe, use facilities or equipment, or participate in any affiliated program, the undersigned confirms that they have inspected and carefully considered the premises, facilities, equipment, and programs, and finds them to be safe and appropriate for the intended purpose.
In further consideration of being allowed to enter JCHA for any purpose, including but not limited to observing, using facilities or equipment, or participating in any JCHA-affiliated program, regardless of location, the undersigned agrees to the following:
THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES, AND COVENANTS NOT TO SUE JCHA, Keystone Development, its directors, board members, officers, employees, hosting organizations, and agents (collectively referred to as “released parties”) from any liability to the undersigned, their personal representatives, assigns, heirs, and next of kin for any loss, damage, or claims, arising from participation in the Activities, including but not limited to injury to the person or property or resulting in death, unless caused by gross negligence or recklessness of the released parties, while the undersigned is on, in, or around the premises, facilities, or equipment, or participating in any JCHA-affiliated program, regardless of location.
THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY, DEFEND, AND HOLD HARMLESS the released parties, and each of them, from any loss, liability, damage, or cost they may incur due to the undersigned’s presence on, in, or around JCHA premises, or while observing, using facilities or equipment, or participating in any JCHA-affiliated program, unless caused by the gross negligence or recklessness of the released parties.
THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE, unless caused by the gross negligence or recklessness of the released parties, while on, in, or around the premises of JCHA, or while using the premises, facilities, or equipment, or participating in any JCHA-affiliated program.
THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER, AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as allowed under the laws of the state of Tennessee.
