I, the undersigned, hereby consent to myself/child enrolling and participating in all Ellinwood Recreation Commission activities. I acknowledge that the activities involved by their nature involve some inherent risk. I assume all physical risks and hazards involved in the conduction of recreational programs and hereby release, and hold harmless this organization and any other civic or private party organization involved in any way in the activity from any liability as a result of an accident which may occur in conjunction with said participation and the result of bodily injury to myself/child. This release is intended to include all individuals and representatives of the organizations and individuals and representatives participating in recreational programs. I further acknowledge and understand that no insurance is provided by the Ellinwood Recreation Commission, Kansas or any other organization or entity assisting with promoting or conducting the program, travel and activities.

I hereby give Ellinwood Recreation Commission permission to us my name/child’s name, my photography, and/or footage shot at recreational activities to be used in print advertising, broadcast advertising, and website advertising for the Ellinwood Recreation Commission. I waive rights to any and all payments concerning the use of my photographs and or audio video recordings.

By signing below you agree to both statements above: