I hereby agree to abide by the rules and regulations governing this activity and elect to participate at my own risk, and in consideration for being allowed to participate, do hereby release and discharge the American National Red Cross, its assignees, officers, agents, employees, and officials and their successors from any and all liability (including death) that may be received by me (or my minor child) and from all claims and demands to personal property growing out of or resulting from my participation in the Red Cross Learn to Swim program, except where the same is caused by the willful misconduct of the foregoing. I further certify that my physical condition will enable me to participate in this event.

 

I grant full permission to the sponsors, organizers and affiliates to use my (or my child’s) name, photographs or any other record of participation in this event for picture in any broadcast, telecast, or any other written account of the event for publicity purposes, without compensation or remuneration.

 

I give my permission for my child, _____________________________, to participate in the Summer Learn to Swim program to be held at the (name of pool)___________________ on (dates) ___________________________________with the Roanoke Valley Chapter.

 

  

 

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