WAIVER FORM

CAPITAL YOUTH OUTREACH CLUB (CYOC) Waiver Form (v2026.01)

PARTICIPANT WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK, AND MEDIA CONSENT

Capital Youth Outreach Club (CYOC) is a nonprofit organization dedicated to youth leadership, education, volunteer service, and community engagement.

Please read this document carefully before signing.

1. Voluntary Participation

I voluntarily choose to participate in activities organized, sponsored, or supervised by Capital Youth Outreach Club (“CYOC”). I understand that participation is completely voluntary.

2. Acknowledgment and Assumption of Risk

I understand that CYOC activities may include, but are not limited to:

  • Community service and volunteer work
  • Summer camps
  • STEM workshops and science experiments
  • Robotics programs
  • Rocket launches
  • Astronomy observation
  • Educational classes
  • Pickleball, basketball, badminton and other sports
  • Outdoor recreation
  • Hiking
  • Festivals and public events
  • Leadership training
  • Performances and competitions
  • Travel related to activities

I understand these activities involve inherent risks, including but not limited to:

  • Falls and slips
  • Contact with other participants
  • Muscle strains and fractures
  • Weather-related hazards
  • Allergic reactions
  • Insect bites
  • Equipment malfunction
  • Fire or burns
  • Vehicle accidents
  • Illness
  • Property damage
  • Serious bodily injury
  • Permanent disability
  • Death

I voluntarily assume all known and unknown risks associated with participation.

3. Release of Liability

To the fullest extent permitted by applicable law, I release, waive, discharge, and hold harmless Capital Youth Outreach Club (CYOC), its officers, directors, board members, advisors, volunteers, instructors, coaches, event organizers, sponsors, partner organizations, property owners, and agents from any and all claims, liabilities, damages, losses, costs, attorney’s fees, or causes of action arising from my participation in CYOC activities.

This release applies to claims arising from ordinary negligence.

This Agreement does not release claims resulting from gross negligence, reckless conduct, willful misconduct, or intentional wrongdoing to the extent prohibited by Maryland law.

4. Medical Authorization

I certify that I am physically able to participate.

In the event of an emergency, I authorize CYOC representatives to obtain emergency medical treatment if I or my emergency contact cannot be reached.

I understand that:

• CYOC does not provide medical insurance.

• I am responsible for maintaining my own health insurance.

• I accept responsibility for all medical expenses.

5. Participant Responsibilities

I agree to:

• Follow all safety instructions.

• Follow directions from organizers and volunteers.

• Wear appropriate safety equipment when required.

• Respect all participants, volunteers, and property.

• Refrain from unsafe or disruptive behavior.

• Inform organizers of any medical condition that could affect safe participation.

I understand that CYOC may remove any participant whose behavior creates a safety concern.

6. Transportation

If transportation is provided by volunteers, parents, or other participants, I understand that CYOC is not a commercial transportation provider.

I voluntarily accept all risks associated with transportation to and from activities.

7. Personal Property

I understand that CYOC is not responsible for loss, theft, or damage to personal belongings.

8. Photography and Media Release

I grant permission to CYOC to photograph, video record, or otherwise capture my image, voice, or likeness during activities.

I authorize CYOC to use these materials without compensation for:

• Website

• Social media

• Newsletters

• Annual reports

• Educational materials

• Grant applications

• Promotional materials

9. Communicable Diseases

I understand that participation in public activities carries risks of exposure to communicable diseases, including COVID-19, influenza, and other illnesses.

I voluntarily assume these risks.

10. Compliance with Rules

I agree to follow all event rules and applicable laws.

Failure to comply with safety requirements may result in removal from the activity without refund (if applicable).

11. Governing Law

This Agreement shall be governed by the laws of the State of Maryland.

If any provision is found unenforceable, the remaining provisions shall remain in full force and effect.

12. Acknowledgment

By signing the coresponding form, I acknowledge that:

• I have carefully read this Agreement.

• I understand its contents.

• I understand that I am giving up certain legal rights.

• I sign this Agreement freely and voluntarily.

Parent or Legal Guardian (Required for Participants Under Age 18)

I certify that I am the parent or legal guardian of the above participant.

I have read and understand this Agreement.

I give permission for my child to participate in CYOC activities and agree to the terms of this Agreement to the fullest extent permitted by law.