RELEASE OF LIABILITY FOR COMMUNITY SERVICE

I, on behalf of myself and my next of kin, heirs and representatives, release from all liability and promise not to sue Premier Academy, a Program of the Grundy/Kendall Regional Office of Education and their employees, officers, directors, volunteers and agents from any and all claims, including claims of Premier Academy’s negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic or emotional loss I may suffer because of my participation in Community Service, including travel to, from and during the Community Service.

I am voluntarily participating in Community Service. I am aware of the risks associated with traveling to/from and participating in Community Service, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or outcomes may arise from my own or other’s actions, inaction, or negligence; conditions related to travel; or the condition of the Community Service location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in Community Service, including travel to, from and during Community Service.

I agree to hold the Premier Academy harmless from any and all claims, including attorney’s fees or damage to my personal property that may occur as a result of my participation in Community Service, including travel to, from and during Community Service. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.

I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.

*Student does not need to be mandated to participate in community service and may choose to help Premier staff with activities and events at our facility. However, student cannot participate without a completed waiver.