YFFL Youth Clinic

I authorize and give my consent to any emergency facility and physician to administer necessary treatment to my child. In the event of an emergency at which time I cannot be reached and/or time is of the essence, I give my consent to transport by ambulance if the situation warrants.

Also, by allowing my child to attend the activity, the undersigned recognizes and acknowledges that there are inherent dangers and risks in the activity, which dangers and risks the undersigned, on behalf of him/herself, as well as on behalf of the undersigned’s spouse, children, ward and others for whom the undersigned is legally responsible, hereby assumes. Consequently, it is understood and agreed that in consideration of my child being permitted to participate in the activity, the undersigned, on behalf of himself/herself, as well as on behalf of the undersigned’s children, ward and others for whom the undersigned is legally responsible, hereby releases, discharges, indemnifies and holds harmless the Young Adult Leadership & Development, YALD, their agents, employees, representatives, chaperones and volunteers, from any and ll claims, actions, demands, or damages whatsoever, in law or in equity (including attorney’s fees and costs incurred in connection therewith), and specifically including those arising as a result of any alleged negligence of the Young Adult Leadership & Development, YALD, their agents, employees, representatives, chaperones and volunteer, for any and all injury, damage or loss, to person or property, arising directly or indirectly from attending the activity or participating in any activities in connection therewith.

Also, upon agreeing with the terms,I hereby acknowledge that Photographs and digital images of the participants may be used for demonstrative or promotional purposes. I understand that I may contact YALD to exclude my child from the photos at anytime with written consent. The photos will be archived or destroyed by YALD after the image is no longer needed.

Finally, I am representing that I am legally authorized to bind, and am hereby binding myself, my spouse, children, ward and other for whom I the undersigned is legally responsible.

 I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that YALD, Inc. has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that YALD, Inc cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families. I voluntarily seek services provided by YALD, Inc. and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment. I attest that: * I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. * I have not traveled internationally within the last 14 days. * I have not traveled to a highly impacted area within the United States of America in the last 14 days. * I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. * I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities. * I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. I hereby release and agree to hold YALD, Inc. harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from YALD, Inc. I understand that this release discharges YALD, Inc. from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from YALD, Inc. This liability waiver and release extends to the salon together with all owners, partners, and employees.