Scholarship Agreement

AGREEMENT, WAIVER AND RELEASE: In consideration of being permitted by the Grant a Wish Program to participate in activities scholarshipped by the Grant a Wish Program, I hereby waive, release and discharge any and all claims for damage for personal injury, death or property damage which I may have, or which may hereafter accrue to me, as a result of participation in activities. This release is intended to discharge in advance the Grant a Wish Program, its officers, employees and agents from any and all liability arising out of or connected in any way with my participation in activities scholarshipped by the Grant a Wish Program even though that liability may arise out of negligence or carelessness on the part of those parties. It is understood that activities such as the ones my child(ren) will be participating in involve an element of risk and danger of accidents and knowing those risks, I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold harmless, the Grant a Wish Program, its officers, employees and agents from any loss, liability, damage, cost or expense which they may incur as the result of death or any injury or property damage that my child(ren  may sustain while participating in any activity scholarshipped by the Grant a Wish Program.

Consent to Participate

I am the parent or legal guardian of the participant listed above. I hereby consent that the participant may participate in activities at this, or any other Grant a Wish Program and I hereby execute the Agreement, Waiver and Release on his/her behalf. I hereby affirmatively state that the said Participant is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost or expense that they may incur as result of the death or any injury or property damage that said participant may sustain while participating in activities scholarshipped by Grant a Wish. I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE GRANT A WISH PROGRAM AND I SIGN IT OF MY OWN FREE WILL.

Media Release

I, the undersigned, do hereby grant permission to Grant a Wish Program to use photographs, videotape, or digital recordings of my child(ren). Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Grant a Wish Program website or social media platforms without releasing their names by descriptive text or commentary. I understand that there will be no financial or other gain for recording, either for initial or subsequent transmission or playback. You give us permission to contact you regarding scholarship activities and up coming events.

Grant a Wish Scholarship Agreement, Waivers & Media Release

To that end, we will provide a scholarship to your child(ren) for a program that provides positive peers and role models. Each child has an annual budget allotted to use for these programs and may apply yearly. This begins as a one-month trial period. In order to receive additional funding your child must attend and participate, in the activity that they are scholarshipped for, regularly. Lack of attendance or participation will result in forfeiture of this scholarship. Funding will proceed once you accept these terms. If you have questions, contact us.
  • Date Format: MM slash DD slash YYYY
  • I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief. I understand that any misrepresentation, falsification, or omission of any facts called for in the application may render this application void and will be cause for Scholarship termination, whenever discovered.
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