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Release of Liability Waiver

Inspire One Foundation

6569 N. Riverside Drive #102-244

Fresno, CA 93722

Licia@Inspire-1.org

Laura@inspire-1.org

Leeann@Inspire-1.org





HERE'S ALL THE IMPORTANT LEGAL STUFF WE NEED TO SAY--

GENERAL LIABILITY RELEASE:

I acknowledge that participation in the activity described above involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property damage, and financial damage.

In consideration for the opportunity to participate in the activity described above (the “activity”), the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by the sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to as the “activity sponsor”). Further, the participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the activity sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise. 

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the organization or participation in organization-related activities (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the organization, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any organization-related activity.

I understand and agree that the law of the State of California will apply to this Waiver of Liability. I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS WAIVER OF LIABILITY, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE:

MEDIA RELEASE:

I understand and authorize that I or my minor child(ren) may be photographed or filmed and used in video presentations, and printed publications-either digital (online) or paper publications. Any exception must be received in written form prior to the date of the event.

IMPORTANT INSURANCE NOTE: In the event of an injury to the attendee, it is the policy of the organization that the individuals insurance be primary and Inspire One Foundation medical coverage be secondary up to a maximum of $10,000.



First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
ADDITIONAL REQUIREMENTS
Our family is new to Inspire One or has not participated in Inspire One in the past year*
No
Yes
ALL families will be added to the BAND APP upon registration. This is our MAIN means of communication with our families, essential information regarding Inspire One classes, events, cancellations and more will be posted in the Band app. The thread is also accessible online if you choose not to use the app, but you are responsible for checking the thread regularly to avoid missing important communication. By clicking below, I certify that I UNDERSTAND & AGREE to these terms. *
I UNDERSTAND & AGREE
Inspire One is a cooperative organization that depends on participation from parents to run smoothly. To that end all parents are required to volunteer to help each semester. Please indicate below the area(s) you prefer to help. Thank you for your cooperation! *
Parent Liaison in the Parent Hangout Room
Class Parent: Beginning Choir
Class Parent: Children’s Choir
Class Parent: Youth Choir
Class Parent: Mixed Ensemble
Class Parent: Girls Ensemble
Class Parent: Guys Ensemble
Class Parent: Pre-Ballet
Class Parent: Beginning Ballet
Class Parent: Ballet I
Class Parent: Ballet II
Playground Monitor
I can assist parents looking for outfits.
I can assist families with outfit alterations.
Ballet recital hair accessories organizer
Concert Night Parent Assistant
Recital Night Parent Assistant
I am an Inspire One Teacher
I have an infant or toddler and therefore am unable to help this semester.
Other: please explain in the comment box below.
I can help with:
Fundraising is a crucial part of Inspire One’s continuing ability to provide homeschool classes at affordable rates. Class fees only cover teacher salaries and do not account for overhead and administrative expenses. Fundraiser participation is a requirement for all Inspire One families. This may include one sales fundraiser per semester (ie: selling raffle tickets or Jamba cards) in addition to the selections below. *
Dessert Auction Lead for Fall 2026 Gala fundraiser
Assist with Fall Gala dessert auction
Assist with Fall Gala setup and/or tear down
Assist with Fall Gala Registration
Assist with managing Fall Gala student servers
Contribute a silent auction item for the Fall Gala
Contribute a baked good for the Fall Gala dessert auction
I don’t want to participate in fundraisers, I prefer to donate an additional $100 per student I am registering to help cover costs. Please add the appropriate number of "Fundraiser Opt Out Donations" to cart when paying for your students classes.
Insurance
Insurance Carrier*
Insurance Policy 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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Information
MINORS ONLY: Current year grade level *
Allergies (Please include food allergies)
Last Tetanus Shot (if known)
Medications Taken/Medical Conditions
Please select all activities you/your student will be participating in: *
Choir/Ensemble
Handbells
Ballet
Private lessons
Biola Enrichment Days
Student Volunteer
Adult Volunteer
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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