S.T.A.R. WITH TEENS RELEASE 

KNOW ALL PERSONS BY THESE PRESENTS, that, ______________________________________________(name), who resides at  

_________________________________________________________________(address), (hereinafter referred to as “Participant”), desires to participate in the activities with S.T.A.R. with Teens (hereinafter referred to as “S.T.A.R.” which is intended to include its agents, employees, representatives successors, assigns and all those in privity with them) at the program project which will be held at, ________________________________________________________(site location).  

FOR AND IN CONSIDERATION OF THE ABOVE OPPORTUNITY, Participant does hereby forever and finally release, remise, acquit, satisfy and forever discharge S.T.A.R. of and from all manner of action and actions, cause and causes of action, suits, debts, dues, sums of money, bonds, billing, contracts, controversies, agreements, promises, damages, variances, judgments, executions, claims and demands whatsoever, in law or equity, which may arise or might in the future arise or hereinafter may arise for or against S.T.A.R., its agents, employees, representatives, successors assigns and all those in privity with them, for all present and future damages resulting from all incidents no matter how caused even those resulting from the negligent acts or omissions of S.T.A.R.  

This document is meant to a full and complete release from any and all liabilities that may arise from Participant’s activities with S.T.A.R. even though said liability or liabilities are predicated or based upon the alleged negligent acts of omissions of S.T.A.R. This release is given freely and voluntarily by the Participant and their legal guardian and is meant to remain in existence throughout the duration of the program project.  

DATED this ________ day of ____________________, 20____. 

 

 
________________________________Participant 

 

 
________________________________Legal Guardian (if minor)  

 

 
________________________________

Acceptance by representative