I/We give my/our consent for him/her to participate in the Youth Leadership Conference sponsored by and the National Rural Electric Cooperative Association (NRECA).
I/We understand that this participation involves travel within and outside Iowa, and that at times my/our son/daughter may be traveling and/or participating in activities without the direct supervision of a chaperone.
I/We authorize and direct NRECA, through their staffs and volunteer chaperones, to direct and supervise my/our son/daughter. I/We further request and authorize, and NRECA, through their staffs and volunteer chaperones, to secure any medical or other emergency services the said staffs and volunteer chaperones in their reasonable discretion may deem necessary or desirable for my/our son/daughter during his/her participation in the Youth Leadership Conference.
I/We hereby release and agree to hold harmless NRECA, their officers, members, staffs, and associated organizations together with their heirs, successors, or assigns from any and all causes of action, claims, damages, costs, expenses, compensation, personal injury, property loss, or any other loss or injury related to participation by my/our son/daughter during his/her participation in the Youth Leadership Conference.
I/we hereby grant permission to National Rural Electric Cooperative Association (NRECA) to use photographs, likenesses, and/or videotape images of my/our son/daughter for publicity purposes related to this activity.