Release, Indemnification and Medical Treatment Authorization

RELEASE, INDEMNIFICATION AND MEDICAL TREATMENT AUTHORIZATION

         I voluntary agree to my child’s participation in activities put on by Music Together in the City (“MTC”). I acknowledge that these activities may involve my child’s performing physical movements in accompaniment to the singing or music in the class, and that such physical movements are moderate and are not intended to cause my child to experience any physical strain or overexertion and I attest that my child is in good health and physically and psychologically able to participate in such physical movements. For as long as my child is enrolled or participating in any activity put on by MTC, I hereby assume all risk of injury to my child attendant to his/her participation in MTC activities, and I hereby agree to forever release, waive and discharge MTC, its officers, directors, shareholders, employees, teachers agents and successors and assigns from any and all demands, claims, causes of action and damages in connection with any injury to my child, in connection with his/her participation in MTC which injury is not directly caused by the gross negligence or intentional act of MTC, its officers, directors, shareholders, employees, teachers or agents. I further agree that neither I nor my assignees will make a legal claim against or attach the property of MTC, its officers, directors, shareholders, employees, teachers, agents and successors and assigns for injury or damage caused by my child’s participation in MTC activities unless caused by the gross negligence or intentional act of MTC, its officers, directors, shareholders, employees, teachers or agents.

          I further agree to release MTC from liability for any of my child’s property that may be lost, stolen or damaged while my child is participating in MTC activities.

          I also forever release, waive and discharge MTC, its officers, directors, shareholders, employees, teachers, agents and successors and assigns from any and all demands, claims, causes of action and damages in connection with any injury to me suffered on MTC’s premises or while entering or leaving such premises which injury is not directly caused by the gross negligence or intentional act of MTC, its officers, directors, shareholders, employees, teachers or agents. There may be occasions where my spouse or my child’s caregiver will accompany my child to MTC classes; in the event that such person is injured on MTC’s premises or while entering or leaving MTC’s premises, I agree to indemnify and hold MTC harmless from and against any and all demands, claims, causes of action and damages in connection with any injury to such person suffered on MTC’s premises or while entering or leaving such premises which injury is not directly caused by the gross negligence of MTC, its officers, directors, shareholders, employees, teachers or agents.

          I agree that in the event of a medical or psychological emergency involving my child, MTC, its employees, teachers and agents have the authority and may in their sole discretion contact 911 emergency services as well as the emergency contact person designated below. I understand that MTC is not a medical services provider and is not expected to provide medical or psychological services, and that MTC will make its best effort to communicate with my designated contact person in an emergency. I acknowledge that all costs incurred in providing such emergency medical or psychological services to my child initiated by MTC as provided above are my and not MTC’s responsibility. 

 This Release, Indemnification and Medical Treatment Authorization shall bind my personal representatives, heirs, executors, administrators, assigns and all the members of my family for so long as my child is enrolled in MTC or participating in any activity put on by MTC.