I understand and acknowledge the risk of injury that is associated with applicant’s participation in the Miracle League of Northampton Township, PA activities and/or events that I have volunteered for. I accept these risks and, in consideration of Miracle League of Northampton Township, PA accepting applicant as a volunteer to participate in this program and in reliance upon the quality of the leaders selected to supervise this program, I hereby agree to release, absolve and hold harmless George School, Miracle League, Miracle League of Bucks County, Miracle League of Northampton Township, PA, event organizers, sponsors, volunteers, supervisors of the program leaders, and any other persons connected with the program (“Releasees”) from all liability for any loss, injury or harm of any kind, including personal injury, death, and property damage, in any way arising from applicant’s participation in this event including but not limited to losses sustained as a result of alleged negligence on the part of Releasees.

In the event that a medical emergency occurs during the course of applicant’s volunteer efforts with Miracle League of Northampton Township, PA, and I cannot give my consent or make my own arrangements for applicant’s treatment, because of injury or otherwise, I authorize Miracle League of Northampton Township, PA to take whatever measures necessary to protect applicant’s health and well-being, including, if necessary, hospitalization. In the event that medical treatment and/or hospitalization and/or incidence of medical expenses of any description are required for any cause, I hereby authorize and consent to all medical and surgical treatment and expenses deemed necessary by the attending physician. In the event of injury or sickness, I authorize Miracle League of Northampton Township, PA team representatives to transport and admit applicant to any convenient hospital or similar facility for emergency treatment.

I appoint the leader(s) of the Miracle League of Northampton Township, PA as guardian(s) of applicant’s person and authorize leader(s) to make all decisions in loco parentis, including re-confirming this medical authorization by signing any required medical authorization forms.

I understand that there will be media and promotional coverage of Miracle League of Northampton Township, PA games and activities and I give consent to publish applicant’s name and picture for such purposes. I hereby grant the Miracle League of Northampton Township, PA, its affiliates, franchises, advertising and promotional agencies, and their agents, the irrevocable, unrestricted right to use, publish, display and distribute materials bearing applicant’s name, voice, likeness or any other identifiable representation of applicant and applicant’s family members. These materials may appear in any form, style, color or medium whatsoever (including, without limitation, photographs, video tapes, films, sound recordings, software, drawings, prints, broadcast, internet and electronic media). I agree that all material containing identifiable representation of applicant (including without limitation, all negatives, plates and master of any photographs, files, prints or tapes) shall be and remain the sole and exclusive property of the Miracle League of Northampton Township, PA. I hereby release and forever discharge The Miracle League of Northampton Township, PA from any and all liability and damages relating to applicant’s name, voice, likeness or any identifiable representation of applicant. I hereby waive any right I may have to inspect or approve the finished materials or any part or element thereof that incorporates applicant’s name, voice, likeness or any other identifiable representation of applicant or applicant’s family.

I have read the above agreement and, after full and complete review, I agree to the above in consideration of the opportunity given to applicant by the Miracle League of Northampton Township, PA