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This waiver must be completed in order to participate in the FFA's Washington Leadership Conference. 

NATIONAL FFA ORGANIZATION

RELEASE, WAIVER, AND INDEMNITY

 

THIS DOCUMENT IS A RELEASE, WAIVER AND INDEMNITY THAT AFFECTS YOUR LEGAL RIGHTS.  READ THOROUGHLY BEFORE SIGNING.  IF YOU DO NOT UNDERSTAND YOUR LEGAL RIGHTS OR HAVE ANY QUESTIONS OR CONCERNS ABOUT THIS DOCUMENT, OBTAIN INDEPENDENT LEGAL ADVICE BEFORE YOU SIGN IT.

Participation in National FFA Events

The National FFA Organization ("National FFA") is a not for profit organization whose mission is to make a positive difference in the lives of young people by developing their potential for premier leadership, personal growth, and career success through agricultural education. National FFA invites the participation of individuals in support of its work. As a part of fulfilling its mission, the National FFA  sponsors, hosts and offers  events, programs and activities (collectively "Event or Events") by itself and in conjunction with other organizations.  Participation in Events is a privilege and a personal choice.


Individuals who choose to participate in National FFA Events (referred to in this document as "Participant") are expected to demonstrate role model behaviors and personal conduct described below that clearly support the mission and values of the National FFA Organization.  An adult Participant, age 18 and older, who chooses to participate in any National FFA Event must read and sign this Release of Liability, Waiver, and Indemnity.  A minor Participant, under the age of 18, who chooses to participate in a National FFA Event must have this Release of Liability, Waiver, and Indemnity signed by an authorized parent or legal guardian.  Completing this Release, Waiver, and Indemnity does not guarantee participation in any National FFA Event if the Participant does not meet the eligibility requirements for the Event. 

Behavior and Conduct requirements: Participants in a National FFA Event must conduct themselves in an ethical and moral manner at all times consistent with the FFA Code of Ethics, as stated in the Official FFA Manual, which can be found on the National FFA website located at www.ffa.org, and any oral or written code of conduct, guidelines, or instruction for the specific Event. Participants are expected to take every precaution necessary to ensure his/her own safety while participating in any Event.  Participants are prohibited from involvement in any unsafe, irresponsible, and/or illegal conduct. Participants are strictly prohibited from consuming any alcoholic beverages or using any illegal drugs or tobacco while participating in any Event or on the premises of any Event.

Scope of Release, Waiver, and Indemnity: This Release, Waiver, and Indemnity governs and shall apply to any and all National FFA Events within twelve (12) calendar months following the date of execution of this document.  The  Release, Waiver, and Indemnity is in favor of, and shall inure  to the benefit of, the National FFA and each of its directors, officers, employees, (paid or volunteer) representatives, agents, insurers, successors, assigns and any and all other persons or entities on the National FFA's behalf who may be liable (collectively  "Representatives") and  shall be binding upon the Participant's parents or legal guardian (if under age 18), heirs, personal representatives, agents,  and assigns and any other person claiming by, though, or on behalf of the Participant.

Voluntary Participation: The Participant understands and confirms that his/her participation in this or any National FFA Event is completely voluntary and that Participant is not mandated by National FFA to participate in any Event.

Acknowledgement and Assumption of Risks: The Participant understands and acknowledges that National FFA adult leaders and Representatives may not be present during  this Event. The Participant further understands and acknowledges and his/her participation in the Event may involve known or unknown risks of injury or loss due such things as slips, trips, falls, or other accidental or intentional acts arising from the nature of any Event, the condition of the premises, weather or other force of nature, conduct of other individuals or animals, or other expected or unexpected conditions or acts. The risk of injury or loss could be minor, but could also be severe, resulting in prolonged medical treatment, permanent disability, or even death.  The Participant assumes all risks, known and unknown, foreseeable and unforeseeable, in any way connected with participation in any National FFA Event.

Release of Liability, Waiver and Indemnity: Participant  RELEASES, DISCHARGES, INDEMNIFIES AND HOLDS HARMLESS National FFA and its Representatives and external site locations where Events  are held from any and all liability, claims, losses, suits, damages and demands of  any kind or nature, including without limitation, costs, reasonable attorney's and expert's fees, any other expenses of any kind, that may be claimed, due, incurred or paid  in connection with or arising out of any  property damage, bodily or personal injury, death or other loss, injury or damage that were suffered by or associated with Participant in any way connected with any National FFA Event or location of any National FFA Event, or transportation to or from any National FFA Event, and whether caused by the negligent, gross negligent or intentional acts of any person or entity, including but not limited to National FFA's own negligence. 

Consent to Medical Treatment: In the event of any injury to Participant connected in any way to any National FFA Event, Participant authorizes the National FFA to provide, through any available medical or professional personnel of its choice, any necessary or customary medical treatment or services or other assistance, including but not limited to transportation, emergency medical services, or life preservation or support. This consent does not impose any duty upon National FFA or its Representatives to provide any medical treatment or services or other assistance.

National FFA staff and designated chaperones are not authorized to provide student members access to Over-the-Counter (OTC) medication to address headaches, fever, nausea, cough/cold symptoms, etc. All medication to be carried and self-administered by the student must be in the original container, labeled with the student's name, name of the medication, dosage, mode of administration, and name of the health care provider (for prescription medication).

Privacy: Participant has read the National FFA privacy policy which can be found on the National FFA website at https://www.ffa.org/privacy-policy and is incorporated into this Release of Liability, Waiver, and Indemnity. 

Publication,  Promotional Release, and Use of Images and Materials: Participant understands and acknowledges that, in conjunction with his/her participation in any National FFA Event,  Participant's still, digital or video images ("Images") may be taken, captured, recorded, stored, or preserved in photographs, videos, libraries and databases on FFA servers, mobile devices, the cloud or other media.  Participant also may be producing original content in the form of oral or written expression ("Materials") for use in a National FFA Event.  Participant certifies that any such Materials submitted will be the result of Participant's own effort and ability and that any direct quotes or phrases, specific dates, figures or other non-original materials, must be marked in "quotes" in manuscripts and identified in a bibliography at the end of the manuscript.  Failure to do so represents plagiarism and will automatically disqualify a contestant. (Action of Boards of National Officers and Directors, October 1960.)  Participant expressly authorizes National FFA and grants to National FFA an irrevocable license to the unrestricted use of Participant's Images and Materials, and to use Participant's name in conjunction with any such Images and Materials at any time, including but not limited to, the use of such Images and Materials in any promotional publication, photograph, video, film, audio-recording, website, social media, or other media associated with National FFA, all without any fee or remuneration, notification, acknowledgement, or additional consent. National FFA shall maintain all ownership rights in and to the Images and Materials.  Participant RELEASES, DISCHARGES, INDEMNIFIES AND HOLDS HARMLESS National FFA and its Representatives from any and all liabilities or damages, including without limitation, costs, reasonable attorney's and expert's fees, any other expenses of any kind, that could ever be caused by any use of the Images and Materials or in the event that any person or entity challenges this the use of the Images and Materials.

Severability:   Any provision of this Release, Waiver, and Indemnity shall be severable.  To the extent any provision of this Release, Waiver, and Indemnity shall be prohibited by or in violation of any law where it is being enforced, then such provision shall be deemed severed and void, and each and every other provision shall be valid and enforced separately to the fullest extent permitted by law.

Applicable law and Dispute Resolution: Any issue involving the creation, interpretation, performance, or enforcement of this Release, Waiver, and Indemnity shall be governed  by the applicable the laws of the United States of America and the State of Indiana, notwithstanding any conflict of laws interpretation. Any legal action to challenge the creation, interpretation, performance, or enforcement of this Release, Waiver, and Indemnity shall be pursued exclusively to a judge located in a state or federal court located in Marion County, Indiana.  PARTICIPANT WAIVES ANY RIGHT TO A TRIAL BY JURY. 

Participant's Certification of Eligibility: Participant certifies that he/she meets all eligibility requirements for participation in this National FFA Event.

For student self-administration:  I certify that I am the parent / legal guardian of the below named student.  I authorize my child to carry and self-administer medication.  I shall hold harmless and indemnify the National FFA staff, officers, agents, chaperones against any and all claims, judgments or liabilities arising out of the self-administration of medication as described.

THIS IS A RELEASE OF LIABILITY AND WAIVER.  THE UNDERSIGNED ADULT INDIVIDUAL (IF 18 OR OLDER) OR AUTHORIZED PARENT OR LEGAL GUARDIAN (IF PARTICIPANT IS UNDER 18), HAS READ AND UNDERSTANDS THIS RELEASE, WAIVER AND INDEMNITY. THE UNDERSIGNED UNDERSTANDS THAT THIS RELEASE, WAIVER AND INDEMNITY CHANGES AND GIVES UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING IT. THE UNDERSIGNED IS SIGNING THIS RELEASE, WAIVER AND INDEMNITY VOLUNTARILY AND WITHOUT ANY COERCION OR UNDUE INFLUENCE AND WITHOUT ANY EXPECTATION OR PROMISE BY NATIONAL FFA OR ITS REPRESENTATIVES. PARTICIPANT UNDERSTANDS THAT IF ANY CHANGES ARE MADE TO THIS RELEASE, WAIVER AND INDEMNITY, PARTICIPANT WILL NOT BE ABLE TO PARTICIPATE IN THIS NATIONAL FFA EVENT.

 

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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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