FORMS

 

 

 

RELEASE OF LIABILITY FOR MINOR PARTICIPANTS

READ BEFORE ACKNOWLEDGING

IN CONSIDERATION OF  my child/ward, being allowed to participate in any way in the GALYA LLC related events and the undersigned activities, acknowledges, appreciates, and agrees that:

1. The risk of injury to my child/ward from the activities involved in these programs is significant, including the
potential for permanent disability and death, and while particular rules, equipment, and personal discipline may
reduce this risk, the risk of serious injury does exist; and,

2. I FOR MYSELF, SPOUSE, AND CHILD/WARD, I KNOWINGLY AND FREELY ASSUME ALL SUCH
RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or
others, and assume full responsibility for my child/ward’s participation; and,

3. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I
observe any unusual significant concern in my child/ward’s readiness for participation and/or in the program
itself, I will remove my child/ward from the participation and bring such attention of the nearest official
immediately; and,

4. I for myself, my spouse, my child/ward, and on behalf of my/our heirs, assigns, personal representatives and
next of kin, HEREBY RELEASE AND HOLD HARMLESS GALYA LLC ; its directors, officers,
officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if
applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY
AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child/ward’s
involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE
RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

5. I, for myself, my spouse, my child’s/ward, and on behalf of my/our heirs, assigns, personal representatives and
next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all
liabilities incident to my child’s/ward involvement or participation in these programs, EVEN IF ARISING FROM
THEIR NEGLIGENCE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY
SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

UNDERSTANDING OF RISK
I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for
adhering to rules and regulation, and accept them as a participant.
 

 

Website and Social Media Release Form 

I, the undersigned, do hereby grant permission to GALYA LLC to post my child’s photo, or other itemS, hereinafter referred to as “Materials,” taken during any GALYA LLC event for the GALYA LLC  Website, and all social media accounts. I hereby release you, your representative, employees, managers, and directors, from all claims and demands arising out of or in connection with any use of said “Materials”, including, without limitation, all claims for invasion of privacy, infringement of my right of publicity, defamation and any other personal and/or property rights. I acknowledge and agree that no sums whatsoever will be due to me as a result of the use and/or exploitation of the “Materials” or any rights therein. 

I acknowledge that my child is under 18 years old and lacks the legal capacity to enter into binding agreements. Accordingly, I have read this Release and consent to my child’s inclusion in the Materials will not contest the rights granted in this Release, and shall assist and support you in any and all legal proceeding for affirmation of this Agreement, should you choose to have a court of law affirm this Agreement. 


Parent / Guardian Name(s) *
Parent / Guardian Name(s)
Participant Name *
Participant Name
Date *
Date
Acknowledgement *