Adult [18+ Years Old] Participants

Write Speak Inspire, LLC Waiver, Release and Assumption of Risk Agreement and Authorization for Emergency Treatment or Transportation

I, the undersigned, hereby assume full responsibility for all risk of injury or loss which may result from my participation in Write Speak Inspire, LLC programs, workshops and events and hereby agree to hold harmless, release and forever discharge Write Speak Inspire, LLC, its officers, directors, agents and employees and their representatives, from any and all claims and demands whatsoever which the undersigned, and any of them or any third party and their representatives or any person acting under their behalf have, or may have, against Write Speak Inspire, LLC by reason of any accident, illness, injury, or death to any person or persons, or damage to, loss of or destruction of property arising or resulting directly or indirectly from my participation in Write Speak Inspire, LLC programs, workshops and events, and occurring during said participation, or anytime subsequent thereto regardless of whether said claims or demands arise out of negligence on the part of Write Speak Inspire, LLC, or its leadership. The terms of this release shall serve as a release and assumption of risk for myself, heirs, executives, administrators, and for all of my family members.

I understand, agree, and acknowledge that some programs, workshops and events may be of a hazardous nature and/or include physical and/or strenuous activity. I hereby assume all risks of such activities. Understanding this, I state to the best of my knowledge that I have no medical, physical, mental, or emotional health conditions which would hinder my active participation in Write Speak Inspire, LLC programs, workshops and events.

In the case of an emergency in which I am not able to give permission for medical treatment and my designated emergency contact cannot be reached, I authorize the staff or agents of Write Speak Inspire, LLC to obtain whatever medical treatment is deemed necessary for my welfare. I further understand and agree that I will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether my medical insurance would cover such charges and fees.

I give my full permission to Write Speak Inspire, LLC to use photos or videos featuring my likeness for promotional purposes without obligation or liability to me.

Youth [0-17 Years Old] Participants

Write Speak Inspire, LLC Waiver, Release and Assumption of Risk Agreement and Authorization for Emergency Treatment or Transportation

I, the undersigned, as participant, or as parent or legal guardian of the child listed on the registration form, hereby assume full responsibility for all risk of injury or loss which may result from my or my child’s participation in Write Speak Inspire, LLC programs, workshops and events, and hereby agree to hold harmless, release and forever discharge Write Speak Inspire, LLC, its officers, directors, agents and employees and their representatives, from any and all claims and demands whatsoever which the undersigned, and any of them or any third party and their representatives or any person acting under their behalf have, or may have, against Write Speak Inspire, LLC by reason of any accident, illness, injury, or death to any person or persons, or damage to, loss of or destruction of property arising or resulting directly or indirectly from my or my child’s participation in Write Speak Inspire, LLC programs, workshops and events and occurring during said participation, or anytime subsequent thereto regardless of whether said claims or demands arise out of negligence on the part of Write Speak Inspire, LLC, or its leadership. The terms of this release shall serve as a release and assumption of risk for myself, my child, my children, heirs, executives, administrators, and for all of my family members.

I understand, agree, and acknowledge that some programs, workshops and events may be of a hazardous nature and/or include physical and/or strenuous activity. I hereby assume all risks of such activities.

Understanding this, I state to the best of my knowledge that I or my child/children listed on registration forms have no medical, physical, mental, or emotional health conditions which would hinder my or my child’s active participation in Write Speak Inspire, LLC programs, workshops and events.

In the case of an emergency in which I am not able to give permission for medical treatment and my designated emergency contact cannot be reached, I authorize the staff or agents of Write Speak Inspire, LLC to obtain whatever medical treatment is deemed necessary for my child or my children’s welfare. In the case of my child, this authorization is given pursuant to the provisions of the laws of my state. I further understand and agree that I will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether my medical insurance would cover such charges and fees.

I give my full permission to Write Speak Inspire, LLC to use photos or videos featuring my or my child's likeness for promotional purposes without obligation or liability to me.