AACI YOUTH PROGRAMS WAIVER OF LIABILITY & MEDIA/ ARTWORK RELEASE FORM
AACI staff are mandated reporters and are required by the state of California to report anything that we deem reportable.
I (if under 18, “Parent/Guardian Name”) authorize ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (“AACI”), a California non-profit corporation, to use my or my minor child/children’s name, image, likeness, voice and/or words in print, photograph, video, computer-generated presentation, and/or other electronic form or media for AACI non-profit uses, including but not limited to advertising, grants and other non-profit fundraising needs (“materials”).
In consideration of good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby release and hold harmless AACI, and its directors, officers, administrators, employees, agents, representatives, insurance companies, and producers from any and all liability, known or unknown, in connection with the production, distribution, marketing and any and all other uses of the materials. In connection therewith, I hereby waive any and all of my rights under California Civil Code, section 1542, which protects against release of unknown claims.1
Furthermore, I hereby cede any and all of my rights, title, and interest, including those known or unknown, in the materials to AACI. I further hereby waive any and all claims for compensation that I have or may have for the materials.
I agree to waive all liability and all claims against AACI and its staff.
I certify that I am eighteen (18) years of age or older and that I have read, fully understood, and do hereby agree to be bound by this Agreement. IN WITNESS WHEREOF, this Agreement is executed on the date indicated below.
“A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.”
California Civil Code, section 1542.
Artwork/ Project Release Form
I (if under 18 "Parent/ Guardian name") hereby consent and release to AACI to use my or my child(ren)'s artwork, media, projects produced during their workshops and events. I understand that AACI can use my or my child(ren)'s work for marketing purposes such as website features, social media posts, email campaign features, print features, etc. I understand I will not be compensated for the use of my or my child(ren)'s creations, but can ask them to credit my (or my child's) work if wanted to by emailing them at [email protected] for project, work, artwork credit requests.
COVID-19 and other Communicable Diseases
I (myself as the undersigned or if under 18 Parent/Guardian Name) agree, understand, and acknowledge, that an inherent risk of exposure to the disease COVID-19 (as defined by the World Health Organization and any strains, variants, or mutations thereof) and SARS-CoV-2 (the virus that can cause COVID-19) (collectively,"COVID-19), and any other communicable or infectious diseases, exists in any public place where people are present. "Communicable disease" means any disease or illness caused by microorganisms such as bacteria, viruses, parasites, or fungi that can be spread, directly or indirectly, from one person to another. "Infectious diseases" means any disease or illness caused by microorganisms such as bacteria, viruses, parasites, or fungi that enter the body, multiply, and can cause an infection. COVID-19 is an extremely contagious communicable disease that can lead to severe illness and death. No precautions can eliminate the risk of exposure to COVID-19, and the risk of exposure applies to everyone. According to the Centers for Disease Control and Prevention ("CDC"), older adults (people 65 years and older) and people of any age who have underlying medical conditions might be at higher risk for severe illness and death from COVID-19. I also acknowledge that the risk of exposure to COVID-19 and any other communicable or infectious disease includes the risk that you will expose others that you later encounter, even if you are not experiencing or displaying any symptoms of illness.
I acknowledge and agree to voluntarily assume any and all risks in any way related to exposure to COVID-19 and any other communicable or infectious diseases, including illness, injury, or death of yourself or others, and including without limitation, all risks based on the sole, joint, active, or passive negligence of any AACI Youth in Technology Incubator or any of its employees, agents, partners, contractors, and volunteers. You acknowledge that your participation in a workshop, camp, activity, or event is entirely voluntary. By participating in a workshop, camp, activity, or event you attest you are knowledgeable about your individual risk of developing severe illness if you are infected with COVID-19 or other communicable or infectious diseases; you have made an informed decision about participating based on your individual risk; and you have decided whether to consult with a health care provider based on your individual risks.
I further acknowledge and agree to follow all COVID-19 rules, regulations, mandates, and safety protocols issued by AACI Youth in Technology Incubator, County of Santa Clara, State of California, and/or the CDC, including but not limited to: (a) mandatory COVID-19 testing at such times and frequency as required by the CDC, State of California, County of Santa Clara or other relevant agency, which may include testing before and after your activity, event, workshop, or camp; (b) daily health screening (may include temperature checks) for signs and symptoms of COVID-19 and known exposure to COVID-19; (c) denial of participation due to signs and symptoms of a possible COVID-19 infection or known exposure to COVID-19; (d) participation in contact tracing and data collection for COVID-19 surveillance; (e) mandatory isolation and/or quarantine as ordered by a public health authority; (f) closure of an activity, workshop, camp, or event due to a positive or suspected COVID-19 infection in a participant (g) mandatory use of face coverings/ face masks (use of N95 and KN95 being the most effective use of prevention); and (h) following social distancing requirements of AACI Youth in Technology Incubator or any heath authority.
Photographic and Video Release
I (if under 18 Parent/Guardian Name) understand that photographs, recordings, and/ or videos may be taken during this activity and I (if under 18 Parent/Guardian Name) hereby authorize ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (“AACI”), a California non-profit corporation, to use my or my minor child/children’s name, image, likeness, voice and/or words in print, photograph, video, computer-generated presentation, and/or other electronic form or media for AACI non-profit uses, including but not limited to advertising, grants and other non-profit fundraising needs (“materials”).
In consideration of good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby release and hold harmless AACI, and its directors, officers, administrators, employees, agents, representatives, insurance companies, and producers from any and all liability, known or unknown, in connection with the production, distribution, marketing and any and all other uses of the materials. In connection therewith, I hereby waive any and all of my rights under California Civil Code, section 1542**, which protects against release of unknown claims.(1) Furthermore, I hereby cede any and all of my rights, title, and interest, including those known or unknown, in the materials to AACI Youth in Technology Incubator. I further hereby waive any and all claims for compensation that I have or may have for the materials.
I certify that I, the undersigned of myself and/or as the parent/guardian of the minor enrolled in the workshop or activity, agree that I have read, fully understood, and do hereby agree to be bound by this Agreement.
**“A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.”
California Civil Code, section 1542.
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