READ THIS FORM COMPLETELY AND CAREFULLY AS THIS DOCUMENT IMPACTS IMPORTANT LEGAL RIGHTS.
I/We give my/our consent for him/her to participate in Youth Tour from June 14-20, 2019, sponsored by the Iowa Association of Electric Cooperatives (IAEC).
I/We understand that this participation involves travel outside of Iowa.
I/We authorize and direct IAEC, through their staffs and volunteer chaperones, to direct and supervise my/our son/daughter. I/We further request and authorize, IAEC 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 Youth Tour.
I/We hereby release and agree to hold harmless IAEC, the National Rural Electric Cooperative Association, 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 Iowa Youth Tour.
I/We hereby grant permission to IAEC and NRECA to use photographs, likenesses and/or videotape images of my/our son/daughter for publicity purposes related to this activity.