The undersigned being the client and/or the lawful parent/guardian hereby consent to the participation by the client and/or child in all activities conducted by April Katz and the AIROW PROJECT coaches, its staff, volunteers, and agents to the participation of the client and/or child in all events related to said activities. The undersigned grants permission to April L. Katz and the AIROW PROJECT Coaches, its staff, volunteers, and agents to use photos and videos of or quotes from the client and/or child in print or electronic media including social media. The undersigned hereby further authorizes April L. Katz, any of the staff, employees, agents and representatives of The AIROW PROJECT to provide for, approve and authorize any emergency transportation by personnel or if necessary, by ambulance or other emergency vehicle, health care at any hospital, emergency room, doctor’s office or other institution or other persons whose services may be needed for such health care, review and if necessary, disclose the contents of any medical records, execute any consent form required by medical, dental or other health authorities incident to the provision of medical, surgical, or dental care to the client and/or child. Health care shall include, but not be limited to the administration of anesthesia, x-ray, examination, performance of operations, diagnostic and other procedures. The client and/or child are well supervised. However, accidents do happen. The undersigned assumes all risk of injury or harm to the client and/or child associated with participation in the program and agrees to release, indemnify, defend and forever discharge April L. Katz and The AIROW PROJECT coaches, its staff, employees, and agents of and from all liability, claims, demands, damages, costs, expenses, actions and causes of action in respect of death, injury, loss or damage to the client and/or child, or by the client and/or child, howsoever caused, arising or to arise by reason of or during the client’s and/or child’s participation in the program.
Signature of Client and/or Parent/Guardian (if client is under 18yrs of age):
Date: December 6, 2023