Release & Hold Harmless Waiver

Parent/Caregiver Name *

First Name

Last Name

Child Name

First Name

Last Name

Phone *

(###)

###

####

Date *

MM

DD

YYYY

PHOTO RELEASE: Delray Beach Children’s Garden has my permission to use my or my child’s/children’s photograph publically to promote the garden. I understand that the images may be used in print publications, online publications, presentations, websites and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *

I agree

I disagree

LIABILITY WAIVER: 1. Patron does hereby waive, release, relinquish, satisfy, quit claim and forever discharge the Delray Beach Children’s Garden, or any of its officers, agents, and/or employees from and against any and all actions, claims liabilities, losses, and demands that he/she ever had, now has, or may have against Delray Beach Children’s Garden, or any of its officers, agents, and/or employees as a result of his/her participation in the garden. 2. Patron shall protect, defend, reimburse, indemnify and hold Delray Beach Children’s Garden, its agents, officers and/or employees harmless from and against all claims, liability, expense, loss, cost, damages or causes of action of every kind or character, including, but not limited to, attorney’s fees and costs, whether at trial or appellate levels or otherwise, arising during and as a result of his/her participation in the garden. 3. Patron does acknowledge that DBCG is a natural environment with insects, flora and other possible allergens and takes responsibility for self-care for the exposure to these allergens. *

I agree

I disagree

I have read this Agreement fully and understand its content and sign it of my own free will. I further certify that I am eighteen (18) years of age or older. *

I agree

I disagree