IN CASE OF MEDICAL EMERGENCY, I UNDERSTAND THAT EVERY EFFORT WILL BE MADE TO CONTACT MY EMERGENCY CONTACT. IN THE EVENT I CANNOT BE REACHED, I HEREBY GIVE PERMISSION TO THE PHYSICIAN SELECTED BY THE DIRECTOR TO HOSPITALIZE, SECURE TREATMENT FOR, AND TO ORDER INJECTION, ANESTHESIA OR SURGERY FOR ME. I REMAIN FULLY RESPONSIBLE FOR ANY LEGAL OR FINANCIAL RESPONSIBILITY THAT MAY RESULT FROM ANY PERSONAL ACTIONS TAKEN BY MYSELF.I HEREBY WAIVE AND RELEASE ANY CLAIM AGAINST THE LOA WOMEN'S ASSOCIATION OF WASHINGTON, FILIPINO COMMUNITY OF SEATTLE, SPIN, AND CITY OF SEATTLE SYEP INTERNS, PROGRAM VOLUNTEERS, FCS BOARD OF DIRECTIONS, ADMINISTRATION, AND GENERAL STAFF FOR ANY INJURIES SUFFERED BY ME DURING SUCH ACTIVITIES WHETHER CAUSED BY THE NEGLIGENCE OF THE DESIGNATED SUPERVISOR OR OTHERWISE. IN THE EVENT OF AN INJURY SUFFERED DURING THE TRANSPORTATION TO AND FROM THE SITE, I AGREE TO LOOK SOLELY TO THE INSURANCE CARRIER PROVIDING INSURANCE ON THE TRANSPORTING VEHICLE FOR COMPENSATION.
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PROGRAM RELEASE AND INDEMNITY AGREEMENT
The above information is complete and true to the best of my knowledge. I also confirm the authorization and consent detailed within this document, including but not limited to other activity participation, photos, and emergency contacts. I hereby release, discharge, and covenant not to sue Filipino Community of Seattle, its Board, employees, volunteers, and partner agencies and their representatives from all liability to me for all claims, demands, losses, or damages on account of any injury or damage to property caused or arising from my participation in the program. I may be photographed (still and video) for FCS SPIN Camp partners' and community outreach publications.