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A TRUE COPY
<br />CERTIFICATION ON LAST PAGE
<br />RYAN L. BUTLER, CLERK
<br />Contract# IRL2024N-08
<br />Encumbrance# GL01-2309
<br />By my signature below, I, , parent and natural guardian of
<br />, acknowledge and agree to the following:
<br />(1) I certify that my child has no medical conditions or restrictions that would prohibit him/her
<br />from acting as a volunteer. IRC and the IRL Council ("COUNCIL") do not assume any
<br />responsibility for evaluating his/her medical condition or determining his/her fitness to
<br />perform volunteer activities. I understand my child is expected to comply with all IRC and
<br />COUNCIL policies and regulations, including safety guidelines.
<br />(2) I recognize that my child is not a volunteer for the COUNCIL and is not an employee of
<br />IRC or the COUNCIL. At all times he/she is acting as an unpaid, independent volunteer,
<br />and as such, is not entitled to any provision of law regarding IRC or COUNCIL
<br />employment; nor any laws relating to hours of work, rates of compensation, leave time or
<br />employee benefits.
<br />(3) I recognize and understand that my child is at all times responsible for his/her own safety
<br />and the safety of others, and that in performing volunteer activities he/she may encounter
<br />natural or other hazards. I understand that I assume the risk of any such hazards and
<br />recognize that my child is responsible for staying alert as to potential hazards and taking
<br />appropriate steps, including discontinuing any activities that involve a risk of bodily harm.
<br />(4) I am over the age of 18 and my child is under the age of 18. As parent/natural guardian of
<br />my child, I hereby knowingly, freely, and voluntarily forever remise, release, acquit,
<br />discharge and forever hold and save IRC and the COUNCIL, and each of their directors,
<br />officers, employees, agents, contractors and representatives, harmless from, and agree to
<br />indemnify same against, any and all claims and losses that may be made by me or my heirs,
<br />spouse, or other persons, from all manner of actions, causes of action, suits, debts, dues,
<br />sums of money, covenants, contracts, liability, judgments, executions, claims, costs,
<br />attorney's fees, demands, damages, and liabilities, whatsoever, in law, equity, or otherwise,
<br />including, but not limited to, personal injury, loss of life, or property damage that may result
<br />from my child's participation as a volunteer including, but not limited to, providing
<br />emergency services or emergency medical care. This waiver and indemnity obligation
<br />include claims based upon my partial or sole negligence or that of IRC and the COUNCIL.
<br />Nothing contained herein shall be construed or interpreted as a waiver of sovereign
<br />immunity of the State of Florida.
<br />Signature of Parent/Natural Guardian
<br />Page 26
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