More Students in the family?
I, the undersigned, give permission for my child to participate in the activities offered by Running for a Better Oakland. I know of no physical disorder that could keep my child from participating in this program. I waive any claim of liability against and agree to hold harmless, Running for a Better Oakland, and any other officer, agent, and/or employee thereof from claim of injury to participant arising out of or in any way connected with any class or activity offered by Running for a Better Oakland. I further agree that if my child should become injured while participating in the RBO program, I authorize transportation to any physician or surgeon licensed in the state of CA to perform emergency or surgical treatments within his/her judgment, may be necessary.
I, the undersigned, give permission to the medical personnel selected by Running for a Better Oakland, including without limitation, coaches, run mentors, volunteers and staff, to provide transportation and all necessary medical and dental care for the above named child. I hereby give permission to the medical care provider(s) selected by Running for a Better Oakland to secure and administer all necessary treatment, including hospitalization, for the child. This care may be given under whatever conditions are necessary to preserve life, limb, or well-being of the child.
I, the undersigned, understand that Running for a Better Oakland conducts evaluations to assess the quality of programs. I give permission for my child to be part of this program evaluation. I also understand that the information collected about my child will be kept confidential and that only persons connected with Running for a Better Oakland and the evaluation will have access to this information. I also give permission for any photograph, videotape, film audiotape or writing of said participant to be used in informational materials for Running for a Better Oakland.
"Signature" Box *
By checking this box, I hereby give the electronic equivalent of my signature and I confirm that I have read and agree to this Release and Waiver Agreement