By signing this document I:
(a) understand that my child/children participates in the KRANK School Holiday Program at their own risk and acknowledge and accept the level of risk consequent with the activity and in accordance with the rules specified by the KRANK service provider.
(b) hereby agree to indemnify and keep indemnified and hold harmless Logan City Council (“LCC”), its employees and servants, the promoter, partners, managers, officers, agents, contractors, any club, organisation and volunteers including medical and paramedical personnel appointed for the activities, the owners’ licensees and occupiers of land in which the activities or any part of it are conducted, sponsors and activities organisers (“the parties”), from and against all liability for any damage, loss, costs, expense, liability, claims, demands, actions, proceedings, injury (including death) or dispute including any negligence by the parties arising out of, directly or indirectly, the actions or omissions (whether wilful, negligent or otherwise) by the parties which may be brought by or on behalf of the above named child, however arising out of or in relation to participation in the KRANK School Holiday Program. To be clear, this waiver includes but is not limited to liability for any negligent or tortuous act or omission, breach of duty, breach of contract or breach of statutory duty on the part of the parties.
(c) acknowledge that my child/children has voluntarily chosen to participate in the KRANK School Holiday Program.
(d) acknowledge my child/children is fit, healthy, not suffering from any injuries and if appropriate, have a clearance from my child’s/children’s doctor to participate in the KRANK School Holiday Program or if I/my child/children has an injury I have advised the provider of my child’s injuries and my child has been cleared to participate.
(e) give full consent for LCC to use my child’s/children’s images and/or personal information in any or all promotional and marketing campaigns, e.g. television and cinema advertising, promotional DVDs, and any other printed and or audio-visual or website material relating to LCC and the KRANK School Holiday Program or other government agencies at the discretion of LCC. I acknowledge that:
(a)I am the legal guardian of the child/children who is named on this form. I hereby covenant and warrant this information true and correct and hereby agree that we shall all be bound by this document.
(b)that my signature to this document constitutes a complete and unconditional release of all liability of LCC to the extent permitted by law in the event of me and/or the children under my care suffering injury, death or permanent disability.
I HAVE READ, UNDERSTOOD AND PROVIDE THE ABOVE RELEASE, WAIVER AND CONSENT

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