Beruflich Dokumente
Kultur Dokumente
Student Information
• Students/Youth need to follow the “Rules of Courtesy” that are
utilized by every event participant
• Students/Youth that do not raise $100.00 will be required to be
picked up by a parent or guardian by 10:00 p.m.
• Student/Youth Teams must provide a full team roster, including chaperone
information, to the event chair or staff person at least one week prior to
the event. Information for each Student/Youth must include how to reach a
parent/guardian by telephone at all times during the event.
• Hard Copy Waivers (not electronic) are needed for every
student/youth that is under the age of 18.
• Students must bring ID to the event to receive a wristband.
Wristbands will include the cell number of the chaperone.
• Student and chaperone will need to attend the mandatory
Youth/Chaperone meeting. If student/youth and/or chaperone
cannot attend the meeting or receive alternate training, they will
need to return home after 10:00 p.m.
Chaperone Information
• All Youth Teams must have one chaperone for every 10 youth on the team.
• Chaperones need to be 25 years of age or older
• There must be a chaperone in attendance at the event for the full 24-hours.
Chaperones can ensure coverage through “shifts” but need to be sure that
one chaperone does not leave the event prior to the next chaperone
arriving
• Chaperones and students need to attend the mandatory Youth/Chaperone
meeting. If student/youth and/or chaperone cannot attend the meeting or
receive alternate training, they will need to return home by 10:00 p.m.
• Chaperones are responsible for youth conduct at the Relay For Life event
1
TEAM NUMBER:______________
PRINT NAME:
CALIFORNIA DIVISION, INC. ______________________________
Notwithstanding any other provision of this Release and Waiver of Liability, Participant
releases ACS and the Site Owner, but no other Releasee, from any liability whatsoever arising
from any injury, damage, or death to Participant where said injury, damage, or death is the
result of, or arises from any intentional or criminal conduct upon the part of an ACS or Site
Owner employee, agent or volunteer. Participant hereby assumes full responsibility for and
risk of bodily injury to or death of Participant due to the negligence or gross negligence of
Releasees and also releases ACS and the Site Owner, but no other Releasee, from any and all
liability for the intentional or criminal acts of its volunteers, agents, and/or employees while
Participant participates in or travels to and from the event.
Participant further expressly agrees that the foregoing release and waiver is intended to be as
broad and inclusive as is permitted by the law of the State of California, and that if any
portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in
full legal force and effect. Participant has read and voluntarily signs this Release and Waiver
of Liability, and further agrees that no oral representations, statement or inducement apart
from the foregoing have been made, and that this Release and Waiver of Liability may only
be modified by a written document signed by Participant and a duly authorized representative
of ACS and of the Site Owner.
If Participant is a minor child, then the undersigned hereby states that he/she is the parent or
legal guardian of the minor child and, as such, has the authority to and hereby does sign this
Release and Waiver of Liability on behalf of the minor child.
Signature:___________________________________ Date:_____________
Parent’s/Guardian’s Name:_________________________________
2
TEAM NUMBER:______________
PRINT NAME:
CALIFORNIA DIVISION, INC. ______________________________
GROUP
RELEASE AND WAIVER OF LIABILITY
Notwithstanding any other provision of this Release and Waiver of Liability, each Participant
releases ACS and the Site Owner, but no other Releasee, from any liability whatsoever arising
from any injury, damage, or death to Participant where said injury, damage, or death is the
result of, or arises from any intentional or criminal conduct upon the part of an ACS or Site
Owner employee, agent or volunteer. Each Participant hereby assumes full responsibility for
and risk of bodily injury to or death of Participant due to the negligence or gross negligence
of Releasees and also releases ACS and the Site Owner, but no other Releasee, from any and
all liability for the intentional or criminal acts of its volunteers, agents, and/or employees
while Participant participates in or travels to and from the event.
Each Participant further expressly agrees that the foregoing release and waiver is intended to
be as broad and inclusive as is permitted by the law of the State of California, and that if any
portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in
full legal force and effect. Each Participant has read and voluntarily signs this Release and
Waiver of Liability, and further agrees that no oral representations, statement or inducement
apart from the foregoing have been made, and that this Release and Waiver of Liability may
only be modified with respect to a Participant by a written document signed by such
Participant and a duly authorized representative of ACS and of the Site Owner.
If a Participant is a minor child, then the undersigned hereby states that he/she is the parent or
legal guardian of the minor child and, as such, has the authority to and hereby does sign this
Release and Waiver of Liability on behalf of the minor child.
3
NAME OF PARTICIPANT SIGNATURE OF PARTICIPANT DATE
OR GUARADIAN
4
TEAM NUMBER:______________
PRINT NAME:
CALIFORNIA DIVISION, INC. ______________________________
Notwithstanding any other provision of this Release and Waiver of Liability, the Youth
Chaperone releases ACS and the Site Owner, but no other Releasee, from any liability
whatsoever arising from any injury, damage, or death to the Youth Chaperone where said
injury, damage, or death is the result of, or arises from any intentional or criminal conduct
upon the part of an ACS or Site Owner employee, agent or volunteer. The Youth Chaperone
hereby assumes full responsibility for and risk of bodily injury to or death of the Youth
Chaperone due to the negligence or gross negligence of Releasees and also releases ACS and
the Site Owner, but no other Releasee, from any and all liability for the intentional or
criminal acts of its volunteers, agents, and/or employees while the Youth Chaperone
participates in or travels to and from the event.
The Youth Chaperone further expressly agrees that the foregoing release and waiver is
intended to be as broad and inclusive as is permitted by the law of the State of California, and
that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding,
continue in full legal force and effect. The Youth Chaperone has read and voluntarily signs
this Release and Waiver of Liability, and further agrees that no oral representations, statement
or inducement apart from the foregoing have been made, and that this Release and Waiver of
Liability may only be modified by a written document signed by the Youth Chaperone and a
duly authorized representative of ACS and of the Site Owner.
5
TEAM NUMBER:______________
PRINT NAME: __________________
CALIFORNIA DIVISION, INC.
RELEASE AND WAIVER OF LIABILITY (YOUTH CHAPERONE SPONSOR)
Notwithstanding any other provision of this Release and Waiver of Liability, the Youth
Chaperone Sponsor releases ACS and the Site Owner, but no other Releasee, from any
liability whatsoever arising from any injury, damage, or death to the Youth Chaperone where
said injury, damage, or death is the result of, or arises from any intentional or criminal
conduct upon the part of an ACS or Site Owner employee, agent or volunteer. The Youth
Chaperone Sponsor hereby assumes full responsibility for and risk of bodily injury to or death
of the Youth Chaperone due to the negligence or gross negligence of Releasees and also
releases ACS and the Site Owner, but no other Releasee, from any and all liability for the
intentional or criminal acts of its volunteers, agents, and/or employees while the Youth
Chaperone participates in or travels to and from the event.
The Youth Chaperone Sponsor further expressly agrees that the foregoing release and waiver
is intended to be as broad and inclusive as is permitted by the law of the State of California,
and that if any portion thereof is held invalid, it is agreed that the balance shall,
notwithstanding, continue in full legal force and effect. The Youth Chaperone Sponsor has
read and voluntarily signs this Release and Waiver of Liability, and further agrees that no oral
representations, statement or inducement apart from the foregoing have been made, and that
this Release and Waiver of Liability may only be modified by a written document signed by
the Youth Chaperone Sponsor and a duly authorized representative of ACS and of the Site
Owner.
Signature:___________________________ Date:______________
Name:______________________________
Title:_______________________________
6