Skip to content
Chocoholic Frolic!
  • 719-520-1311
  • Contact Us
  • Donate
  • Enroll Now
  • About Us
    About Kidpower
    Staff
    Mission, Vision & Values
    Board of Directors
    Advisory Board
    Success Stories
    News Features
    Collaborative Relationships
    Research
    Supporters
    Darcell Palmer Award
    Download 2021 – 2023 Gratitude Report
  • Our Programs
    Find a Workshop
    Starting Strong Workshops
    Ages 4 - 6 and Parents/Caregivers
    Weekend Family Workshops
    Ages 7-12
    Teenpower Workshops
    Ages 13 - 18
    School / Agency Workshops
    Workshops for People with Disabilities
    Customized Private Workshops
    Virtual Workshops
    Community Education
    School Professionals Training
    FAQs
    Download 2021 – 2023 Gratitude Report
  • Resources
    Languages
    Kidpower 30 Skills Coaching Handbook
    Printable Resources
    Videos
    Books
    Local Family Support Agencies
    Featured Articles
    Download 2021 – 2023 Gratitude Report
  • Who We Serve
    Young Children
    Organizations
    Children
    Schools
    Teens
    People with Disabilities
    Parents, Caregivers, School Professionals
    Download 2021 – 2023 Gratitude Report
  • Safety Topics
    Trauma and Healing
    Bullying Solutions
    Child Abuse Prevention
    Child Protection
    Stranger Safety
    Relationship Skills
    Sexual Assault Prevention
    Prejudice & Discrimination
    Early Childhood Safety
    Adapting for All Abilities
    Online Safety
    Download 2021 – 2023 Gratitude Report
  • Gratitude Report
  • Donate
  • Enroll Now
  • About Us
    About Kidpower
    Staff
    Mission, Vision & Values
    Board of Directors
    Advisory Board
    Success Stories
    News Features
    Collaborative Relationships
    Research
    Supporters
    Darcell Palmer Award
    Download 2021 – 2023 Gratitude Report
  • Our Programs
    Find a Workshop
    Starting Strong Workshops
    Ages 4 - 6 and Parents/Caregivers
    Weekend Family Workshops
    Ages 7-12
    Teenpower Workshops
    Ages 13 - 18
    School / Agency Workshops
    Workshops for People with Disabilities
    Customized Private Workshops
    Virtual Workshops
    Community Education
    School Professionals Training
    FAQs
    Download 2021 – 2023 Gratitude Report
  • Resources
    Languages
    Kidpower 30 Skills Coaching Handbook
    Printable Resources
    Videos
    Books
    Local Family Support Agencies
    Featured Articles
    Download 2021 – 2023 Gratitude Report
  • Who We Serve
    Young Children
    Organizations
    Children
    Schools
    Teens
    People with Disabilities
    Parents, Caregivers, School Professionals
    Download 2021 – 2023 Gratitude Report
  • Safety Topics
    Trauma and Healing
    Bullying Solutions
    Child Abuse Prevention
    Child Protection
    Stranger Safety
    Relationship Skills
    Sexual Assault Prevention
    Prejudice & Discrimination
    Early Childhood Safety
    Adapting for All Abilities
    Online Safety
    Download 2021 – 2023 Gratitude Report
  • Gratitude Report

Weekend Family Workshop Agreement

NOTICE OF RISK OF INJURY AND RELEASE OF LIABILITY

Read this carefully. It is an important document which seriously restricts your legal rights.
This agreement is between the undersigned and Kidpower of Colorado, Inc., Kidpower International, and affiliated employees, staff, volunteers, board members, and directors (hereinafter referred to collectively as “Kidpower”). In exchange for participation in the Kidpower Weekend Family Workshop (the program), I make the following statements and agreements:
Please list EACH child's full legal name. If more than one child is participating, put each name on a separate line.
1. CONSENT. I have the legal authority to sign this release on behalf of the child(ren) named above. I consent to (my child or children’s) participation in the program, and agree (on their behalf and mine) to all of the terms and conditions of this agreement.
2. ASSUMPTION OF RISKS AND RELEASE. I acknowledge that participation in the program carries inherent risks of injury, illness, and emotional distress for myself or my child(ren); I am aware that the program involves strenuous physical activity and personal contact, including participation in and/or witnessing of simulated assault scenarios which could be physically harmful and/or emotionally stressful, as well as close proximity to others which carries the risk of illness or communicable disease, and I voluntarily assume any and all risks of injury, illness, emotional distress, and loss for myself and my child(ren) through participation in or as a result of the program. I understand that participation in the program cannot guarantee safety in a real-life situation. Additionally, I understand that participation in the program creates a risk of myself or my child(ren) causing physical injury, emotional distress, illness, or other loss to another person or property, including through use of these techniques, whether inappropriate or not, and I voluntarily assume these risks.
I hereby release and hold harmless Kidpower for any injury (including emotional distress), illness, loss, or damage (to property or otherwise) sustained in connection with participation in the program, the use of self-defense techniques taught in the program, and my (or my child(ren)’s) use of Kidpower facilities, whether caused by the fault of myself, my child(ren), my family, Kidpower, or other third parties, including any injury, illness, loss, or damage that results from the negligence of Kidpower. I understand that if my child(ren) or I are injured, become ill, or property is damaged while participating in the program, or as a result of the program, neither my child(ren) nor I have a right to make a claim or file a lawsuit against Kidpower, inter alia in accordance with C.R.S. 13-22-107.
3. INDEMNIFICATION.I agree to defend, indemnify, and hold harmless Kidpower against all demands, claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my child(ren)’s participation in the program, use of Kidpower techniques, or presence upon the facilities of Kidpower, including any such claims or demands from third parties. I accept full responsibility for the actions of my child(ren) and myself. This full agreement is binding upon my heirs, legal representatives, and successors.
4. REPORTING. I understand that if my child(ren) or I disclose a situation which involves child abuse that is not already handled (at Kidpower’s discretion), Kidpower may report this to appropriate authorities.
5. REQUIRED DISCLOSURES. I verify that the person or persons listed in Section 1—my child/children, as participant(s) in the program—is/are not, to my knowledge, pregnant, nor do they have an emotional or physical condition (e.g. an injury, disability, illness, pregnancy, or other status) which would endanger them or anyone else through participation in the program. I agree to disclose to Kidpower each and every current or recent physical or emotional condition which might affect or be affected by that person’s (or those persons’) participation in the program.
6. ENFORCEABILITY AND OTHER TERMS. The invalidity or unenforceability of any provision of this agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this agreement or of any other applications of such provision, and such invalid or unenforceable provision shall be deemed not to be a part of this agreement. I agree that I am under no pressure or duress to sign this agreement, and I have been given a reasonable opportunity to review it before signing. I acknowledge that I am free to have my own legal counsel review this agreement if I so desire.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A CONTRACT BETWEEN MYSELF AND KIDPOWER, AND I SIGN IT OF MY OWN FREE WILL.
ACKNOWLEDGEMENT OF LIABILITY(Required)
Electronic Signature(Required)
You must check both boxes above before entering your electronic signature.

VIDEO RELEASE

1. This agreement is between the undersigned and Kidpower of Colorado, Inc., Kidpower International, and affiliated employees, staff, volunteers, board members, and directors (hereinafter referred to collectively as “Kidpower”).
Please list EACH child's full legal name. If more than one child is participating, put each name on a separate line.
2. I am the parent, legal guardian, or authorized caregiver of the child(ren) listed above, and have legal authority to sign this release on their behalf.
3. I authorize Kidpower to record my child(ren) and me during the graduation portion of the workshop only for the following purposes: (1) use by class participants and (2) in-house (Kidpower) training.
4. I hereby release Kidpower from any and all liability of any nature which may result from Kidpower’s use of video in which my child(ren) and/or I appear.
5. I agree to defend, indemnify, and hold Kidpower free and harmless from any demands, claims, or liability of any nature or kind resulting from my child(ren) and/or my appearance in the video. This agreement is binding upon my heirs, legal representatives, and successors.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, AND A CONTRACT BETWEEN KIDPOWER AND ME, AND I SIGN THIS AGREEMENT OF MY OWN FREE WILL.
ACKNOWLEDGEMENT OF VIDEO(Required)
Electronic Signature(Required)
You must check both boxes above before entering your electronic signature.

PHOTOGRAPH/MEDIA RELEASE

1. This agreement is between the undersigned and Kidpower of Colorado, Inc., Kidpower International, and affiliated employees, staff, volunteers, board members, and directors (hereinafter referred to collectively as “Kidpower”).
Please list EACH child's full legal name. If more than one child is participating, put each name on a separate line.
2. I am the parent, legal guardian, or authorized caregiver of the child(ren) listed above. I give permission for this/these child(ren) and myself to be photographed for reproduction in any medium, including the internet, for the purposes of advertising, display, exhibition, fundraising, website, or editorial use.
3. I understand that the names of my children and myself will not be displayed in connection with these materials.
4. I hereby release Kidpower from any and all liability of any nature which may result from Kidpower’s use of photographs in which my child(ren) and/or I appear.
5. I agree to defend, indemnify, and hold Kidpower free and harmless from any demands, claims, or liability of any nature or kind resulting from my child(ren) or my appearance in the photographs. This agreement is binding upon my heirs, legal representatives, and successors.
Photograph Release Consent(Required)
Please indicate whether you agree to the Photograph Release:
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, AND A CONTRACT BETWEEN KIDPOWER AND ME, AND I SIGN THIS AGREEMENT OF MY OWN FREE WILL.
ACKNOWLEDGEMENT OF PHOTO(Required)
Electronic Signature(Required)
You must check both boxes above before entering your electronic signature.
Facebook-square Twitter Instagram
Contact Us

719-520-1311

2335 Robinson Street
Colorado Springs, Colorado 80904

colorado@kidpowercs.org

Supporters
  • What is the need?
  • Corporate / Grant Funders
  • Chocoholic Frolic Supporters
  • Adam & Seth Herzog Fund
  • Frank Hopkins Scholarship Fund
  • Merilee and Tyler Forsyth Fund
  • RJR Fund for Kidpower
  • How You Can Help
Finances
  • Gratitude Report
Awards & Recognition
  • Darcell Palmer Award for Integrity on Behalf of Children
  • In Memoriam
  • Employment
  • Privacy Policy
  • Accessibility Statement
  • HTML Sitemap
  • XML Sitemap

© 1989-2024 A copyrighted publication of Kidpower Teenpower Fullpower International. See our Terms of Use and Permission to Use Requirements and Privacy Policy. To learn more about Kidpower Colorado services, call (719) 520-1311 or email colorado@kidpower.org To learn more about Kidpower International’s services and educational resources, contact safety@kidpower.org

Chocoholic Frolic!
We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.