Authorization for early pick up of my student.
I further agree to indemnify and hold harmless EPA Inc/Epos Sports Experience, FCA, OSU and its leaders, employees, volunteers, or agents from any and all claims arising from my participation in its activities and programs, or as a result of injury or illness during such activities.
I recognize that there may be occasions where I may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of this organization to seek and secure any needed medical attention or treatment for me including hospitalization, if in the agent’s opinion that such need arises. In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment.
I give permission for attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.
On occasion, EPA Inc/Epos Sports Experience, FCA, OSU and its leaders, employees, volunteers, or agents takes photographs or makes an audio or videotape recording of children and/or adults involved in activities. Such photographs or video records may be used by staff and participants to remember the activities and participants.
Local news organizations may hear of our activities or events, and our organization may invite or allow them to photograph or record our events for news reporting on special interest features. I consent to the use of any such audio or visual record of myself to be used, distributed or displayed as agents of the organization see fit. This consent includes but is not limited to: photographs, videotape and audio recordings.
Furthermore, I give permission to be interviewed by the news media, or for such photographs and other audio or visual records to be used by the news media.
In addition, such photographs and audio/visual recordings may be used in publications or advertising materials to let others know about our activities. These images may also be used by EPA Inc/Epos Sports Experience, FCA, OSU and its leaders, employees, volunteers, or its agents to produce ministry resources for staff training, Camp or Campus Ministries, or other uses to promote the ministry of EPA Inc/Epos Sports Experience, FCA, OSU and its leaders, employees, volunteers, or agents. EPA Inc/Epos Sports Experience, FCA, OSU and its leaders, employees, volunteers, or agents may also make these materials available for sale to the public.