I, the undersigned parent or guardian of the listed applicant, give my consent for him/her to participate in the Washington, D.C. Youth Tour sponsored by our local electric cooperative, the Colorado Electric Educational Institute (CEEI), and the National Rural Electric Cooperative Association (NRECA). I understand that this participation involves travel within and outside Colorado, and at times my son/daughter may be traveling and/or participating in activities without the direct supervision of a chaperone.
I authorize CEEI and NRECA, through their staff 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 son/daughter during his/her participation in the electric cooperative Washington, D.C. Youth Tour.
I/We hereby release and agree to hold harmless CEEI and 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 son/daughter during his/her participation in the electric cooperative Washington, D.C. Youth Tour.
I hereby grant permission to NRECA and CEEI to use photographs, likeness and/or videotape images of my son/daughter for publicity purposes related to this activity.
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